A nurse is caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?
Body mass index (BMI) of 22 kg/m²
Blood pressure of 120/80 mmHg
Fasting blood glucose level of 90 mg/dL
Serum cholesterol level of 240 mg/dL
The Correct Answer is D
A) This choice is incorrect because a body mass index (BMI) of 22 kg/m² is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.
B) This choice is incorrect because a blood pressure of 120/80 mmHg is within the normal range and does not indicate a direct precipitating factor for congestive heart failure in this case.
C) This choice is incorrect because a fasting blood glucose level of 90 mg/dL is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.
D) This choice is correct. A serum cholesterol level of 240 mg/dL indicates high cholesterol, which is a risk factor for coronary artery disease. Coronary artery disease is a leading cause of congestive heart failure and may have contributed to the client's condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.
B) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.
C) This choice is correct. Hypotension (low blood pressure) is a potential adverse effect of furosemide due to its diuretic action. Furosemide causes the excretion of excess fluid, leading to a decrease in blood volume, which can result in hypotension.
D) This choice is incorrect because a dry, nonproductive cough is associated with ACE inhibitors, not furosemide.
Correct Answer is D
Explanation
A) This choice is incorrect because serum electrolyte levels are not directly measured during an echocardiogram. They are typically assessed through a blood test and are not specific to evaluating heart function using ultrasound.
B) This choice is incorrect because blood pressure readings are not directly measured during an echocardiogram. Blood pressure is typically assessed using a sphygmomanometer and is not specific to evaluating heart function using ultrasound.
C) This choice is incorrect because oxygen saturation levels are not directly measured during an echocardiogram. Oxygen saturation is typically assessed using a pulse oximeter and is not specific to evaluating heart function using ultrasound.
D) This choice is correct. Ejection fraction (EF) is a parameter measured during an echocardiogram to assess the client's heart function. It represents the percentage of blood pumped out of the heart's left ventricle with each heartbeat and is an essential indicator of heart muscle efficiency and potential heart failure.
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