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A nurse is caring for a client on a medical-surgical unit who has heart failure.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should assess the client

followed by the client

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Option 1: Fluid Volume Status

The client is receiving furosemide, a diuretic, which is likely causing the increase in urine output and potential fluid volume changes. Assessing fluid volume status (such as edema, urine output, and blood pressure) is critical to monitor for dehydration or fluid imbalance.

 

Option 2: Electrolyte Levels

Furosemide can lead to electrolyte disturbances, particularly hypokalemia (low potassium) and hyponatremia (low sodium). The nurse should monitor electrolyte levels, as these can cause symptoms like numbness, tingling, and dizziness, which the client is experiencing.

 


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Related Questions

Correct Answer is D

Explanation

A. Raloxifene is not used to treat hypothyroidism.

B. It does not have antimicrobial effects and is not used for UTIs.

C. It is contraindicated in active DVT due to risk of thromboembolic events.

D. Raloxifene is a selective estrogen receptor modulator (SERM) used to prevent and treat osteoporosis in postmenopausal women.

Correct Answer is A

Explanation

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

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