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 D
Explanation
Choice A rationale
Aspiration is not recommended for subcutaneous injections because it can increase tissue damage and pain. Enoxaparin should be administered without aspiration.
Choice B rationale
Prefilled syringes of enoxaparin contain an air bubble to ensure the entire dose is administered. Expelling the air bubble before injection is not recommended.
Choice C rationale
Enoxaparin should be administered in the abdomen, at least 2 inches away from the umbilicus, to ensure proper absorption and effectiveness.
Choice D rationale
Enoxaparin should be administered subcutaneously, and the needle should be inserted completely to ensure the medication is delivered into the subcutaneous tissue.
Correct Answer is B
Explanation
Choice A rationale
Malignant tumors do spread into or invade nearby tissues. This invasive nature allows cancer cells to spread to other parts of the body through the blood or lymph systems.
Choice B rationale
Benign tumors do not spread into or invade nearby tissues. They may grow larger but do not spread to other parts of the body. Benign tumors can be serious if they press on vital structures such as blood vessels or nerves.
Choice C rationale
Benign tumors do not spread and invade nearby tissues. This statement is incorrect and contradicts the true nature of benign tumors.
Choice D rationale
There is a difference between benign and malignant tumors. Malignant tumors are cancerous and invade nearby tissues, whereas benign tumors do not.
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