A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?

"I will be taking this medication to reduce my risk of bleeding."

"This medication will control my ventricular rate."

"This medication will convert my heart rhythm back to normal sinus rhythm."

"The purpose of this medication is to reduce the chance that I will have a stroke."

Answer and Explanation

The Correct Answer is D

A. Apixaban is an anticoagulant used to prevent clot formation and reduce stroke risk, not specifically to reduce bleeding risk.
B. Rate control is typically achieved with medications like beta-blockers or calcium channel blockers, not anticoagulants like apixaban.
C. Apixaban does not convert heart rhythm; it prevents blood clots.
D. The primary purpose of apixaban in patients with atrial fibrillation is to reduce the risk of stroke by preventing blood clot formation.

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Correct Answer is ["A","D","F","G"]

Explanation

A. Administering furosemide 40 mg via IV push once is appropriate for treating fluid overload, as evidenced by pitting edema and crackles in the lungs, common in heart failure.

B. An IV infusion of normal saline (NS) at 150 mL/hr is not appropriate for this client as it can exacerbate fluid overload and worsen heart failure symptoms.

C. Administering digoxin 0.25 mg via IV push NOW may be indicated, but considering the client's low pulse rate (55/min), caution is necessary due to the risk of digoxin toxicity and bradycardia.

D. Monitoring daily weights is crucial for assessing fluid balance in heart failure patients and detecting any changes in fluid status.

E. Calling a code STEMI is not appropriate as the client does not exhibit signs of a STEMI; troponin levels are not elevated, and there is no indication of an acute myocardial infarction.

F. Monitoring strict intake and output helps in managing fluid balance and ensuring accurate assessment of the client's fluid status.

G. Preparing the client for an echocardiogram is appropriate to assess cardiac function and evaluate the severity of heart failure.

H. Radiofrequency catheter ablation is not indicated for this client as it is typically used to treat arrhythmias, not heart failure or fluid overload.

A. This medication improves cardiac output by increasing the heart rate. B. I will hold my dose and call my doctor if my heart rate is less than 60 beats per minute. C. If I forget my daily dose, I will take a double dose the next day. D. I will report any loss of appetite or nausea.

Correct Answer is ["B","D"]

Explanation

A. Digoxin improves cardiac output by increasing the force of cardiac contractions, not by increasing the heart rate. In fact, it may slow the heart rate.
B. Holding the dose and calling the doctor if the heart rate is less than 60 beats per minute is correct, as digoxin can cause bradycardia.
C. Doubling the dose is incorrect and dangerous. Missed doses should be handled according to physician instructions, typically by skipping the missed dose and taking the next scheduled dose.
D. Loss of appetite and nausea can be signs of digoxin toxicity and should be reported to the healthcare provider.
E. Frequent urination is not an expected side effect of digoxin; it is more commonly associated with diuretics.

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A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","F","G"]

Explanation

A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

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