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A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Hypocalcemia

Hypernatremia

Hyperkalemia

Hypokalemia

Answer and Explanation

The Correct Answer is D

Rationale:

A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.

B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.

C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.

D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.

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Correct Answer is D

Explanation

Rationale:

A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.

B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).

C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.

D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).

A. "I will take my diuretic before sleep and drink fluids during the day." B. "I will read food labels and limit my sodium to 4 grams per day." C. "I plan to pace my activities to avoid fatigue." D. "I should use naproxen to manage discomfort."

Correct Answer is B

Explanation

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

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A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is pulseless, and apneic. The code team places the client on the monitor which indicates ventricular fibrillation, what is the next priority action?

Correct Answer is D

Explanation

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is B

Explanation

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