A nurse is caring for a 68-year-old male client with congestive heart failure in the Medical-Surgical unit.
The nurse reviews the client's nursing note, vital signs, and diagnostic results. Based on the findings, which of the following prescriptions should the nurse anticipate for this client?
Complete the following sentence by using the lists of options.
The nurse should anticipate the provider to prescribe
The Correct Answer is {"dropdown-group-1":"C"}
Choice A rationale: Furosemide is a loop diuretic used to reduce fluid overload in CHF patients. However, it can exacerbate electrolyte imbalances, particularly hypokalemia. Since the client is already experiencing muscle spasms and has low calcium levels, additional diuretic therapy could worsen these symptoms.
Choice B rationale: Metoprolol is a beta-blocker used to manage hypertension and heart rate in CHF patients. While beneficial for blood pressure control, it does not address the immediate issue of muscle spasms and constipation the client is experiencing.
Choice C rationale: Potassium chloride is indicated to address potential hypokalemia, which may be causing the client's muscle spasms. CHF patients on diuretics often experience low potassium levels, so supplementation is crucial to prevent complications and alleviate symptoms.
Choice D rationale: Acetaminophen is an analgesic and antipyretic, useful for pain and fever management. However, it does not address the client's reported muscle spasms, which are likely related to electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Alkylating agents are cytotoxic and work by damaging DNA, preventing cancer cell replication.
Choice B rationale
Antitumor antibiotics are cytotoxic and interfere with DNA or RNA synthesis, inhibiting cancer cell growth.
Choice C rationale
Opiate antagonists are not used in cancer treatment but to reverse opioid overdoses by blocking opioid receptors.
Choice D rationale
Antimetabolites are cytotoxic and interfere with DNA and RNA growth by substituting for the normal building blocks of RNA and DNA.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Ethinyl estradiol and drospirenone (Yaz) is a combination oral contraceptive used to prevent pregnancy. It works by inhibiting ovulation, altering the cervical mucus to prevent sperm penetration, and changing the uterine lining to prevent implantation.
Choice B rationale
Finasteride is not used for contraception or prevention of pregnancy. It is primarily used to treat benign prostatic hyperplasia (BPH) and androgenetic alopecia (male pattern baldness).
Choice C rationale
Desogestrel (Mirena) is a hormonal intrauterine device (IUD) used for long-term contraception. It releases a progestin hormone that thickens cervical mucus, inhibits sperm motility, and thins the endometrial lining to prevent pregnancy.
Choice D rationale
Medroxyprogesterone acetate (Depo-Provera) is an injectable contraceptive that provides long-term prevention of pregnancy. It prevents ovulation and thickens cervical mucus to inhibit sperm penetration.
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