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A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?

Hypertensive crisis

Cardiogenic shock

Flash pulmonary edema

Embolic cerebral vascular accident

Answer and Explanation

The Correct Answer is D

Rationale:

A. Hypertensive crisis is not a common complication of atrial fibrillation.

B. Cardiogenic shock is not a common complication of atrial fibrillation.

C. Flash pulmonary edema is not a common complication of atrial fibrillation.

D. Atrial fibrillation can lead to the formation of blood clots in the atria, which can then travel to the brain and cause a stroke or embolic cerebral vascular accident.

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Correct Answer is D

Explanation

Rationale:

A. Reducing blood pressure until the patient is asymptomatic is not specific and may not be achievable or safe.

B. Reducing the blood pressure to normal over a period of hours may be too slow for a hypertensive emergency.

C. Reducing blood pressure to normal over a period of days is too slow for a hypertensive emergency.

D. The goal in a hypertensive emergency is to reduce blood pressure by 25% to 30% within the first hour, with the ultimate goal of a reduction of 50% in the first hour.

A. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. B. It is okay to skip a dose of diuretic. C. Check weight daily when it is easiest. D. Call the provider if you gain 2 lbs. in 24 hours

Correct Answer is D

Explanation

Rationale:

A. A weight gain of 0.5 kg (1 lb) in a week is not typically concerning for heart failure exacerbation.

B. Skipping a dose of a diuretic can lead to fluid retention and exacerbate heart failure symptoms.

C. Weighing daily is important for monitoring fluid retention, but the specific time of day is not as crucial as consistent timing.

D. A weight gain of 2 lbs. in 24 hours can indicate fluid retention and worsening heart failure.

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A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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