A nurse is caring for a client who has heart failure.
A nurse is caring for a client. After reviewing the findings above, which of the following actions should the nurse take? (For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client)
Potential Prescriptions
Place the client on 24-hr urine collection.
Request to hold the client's metoprolol.
Place on sodium restriction of less than 1.500 mg per day.
Request for an increased dosage of furosemide.
Decrease the client’s oxygen to 1 L/min via nasal cannula.
Weigh the client daily.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"A"}}
Based on the information provided and the search results, here are the potential actions the nurse should take:
Choice A. nonessential
Reason: A 24-hour urine collection helps diagnose kidney problems. However, there is no clear indication from the provided information that the patient has kidney issues. Therefore, this prescription is at this point.
Choice B. nonessential
Reason: Metoprolol is a beta-blocker used in the treatment of heart failure. There is no clear indication from the provided information that the patient is experiencing adverse effects from metoprolol that would necessitate holding the medication.
Choice C. contraindicated
Reason: For people with heart failure, restricting dietary sodium intake to levels below the standard recommended maximum of about 2.3 grams per day does not bring additional benefits and may increase the risk of death.
Choice D. anticipated
Reason: Furosemide is a diuretic used in the treatment of heart failure. The patient's weight has increased, which could indicate fluid retention, a common symptom of worsening heart failure. Therefore, this prescription is .
Choice E. contraindicated
Reason: Oxygen therapy is used in heart failure patients to ensure adequate oxygen supply. However, the patient's oxygen saturation has decreased from 93% to 90%.
Choice F. anticipated
Reason: Daily weight monitoring is crucial in heart failure management as it can help detect fluid retention, a common symptom of worsening heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Alendronate tablets should not be chewed or sucked on as they can cause irritation in the mouth and throat.
Choice B reason: Alendronate should not be taken with milk or other beverages as calcium can interfere with the absorption of the medication.
Choice C reason: Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or medication of the day to ensure proper absorption.
Choice D reason: The client should remain upright for at least 30 to 60 minutes after taking alendronate to prevent esophageal irritation and promote absorption of the medication.
Correct Answer is D
Explanation
Choice A reason: A fasting blood glucose of 100 mg/dL is at the high end of the normal range and may not necessarily indicate good control over the past 3 months.
Choice B reason: A fasting blood glucose of 70 mg/dL is within the normal range but does not reflect long-term glucose control.
Choice C reason: An HbA1C of 12.5% is significantly high and indicates poor blood glucose control over the past 3 months.
Choice D reason: An HbA1c of 6.5% is within the target range for many individuals with diabetes, suggesting good blood glucose control over the past 3 months.
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