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A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension.

While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

"Do not stand still for prolonged periods of time.”.

"Even if you feel fine, do not stop taking the drugs.”.

"Eat foods with low potassium.”.

"Upon waking up in the morning, get out of bed slowly.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This is correct. Standing still for prolonged periods can cause blood to pool in the legs, increasing blood pressure.

Choice B rationale:

This is also correct. Stopping the medication abruptly can cause a rebound increase in blood pressure.

Choice C rationale:

This is incorrect. Furosemide is a diuretic that can cause the body to lose potassium, so it’s important to consume potassium-rich foods.

Choice D rationale:

This is correct. Furosemide can cause orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down.

So, the correct answer is Choice C, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale:

In a patient with severe dyspnea and a dry, hacking cough, auscultating the breath sounds would be the first action to assess for any abnormalities.

Choice B rationale:

Checking the capillary refill would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

Choice C rationale:

Auscultating the abdomen would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

Choice D rationale:

Asking about the patient’s allergies would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

So, the correct answer is A, after analyzing all choices.

A. A brief episode of ventricular tachycardia. B. Bleeding from the gums. C. Decreased level of consciousness. D. An increase in blood pressure.

Correct Answer is B

Explanation

Choice A rationale:

A brief episode of ventricular tachycardia, or a rapid heart rate, can occur in patients receiving thrombolytic therapy. However, it is not typically a reason to stop the drug infusion.

Choice B rationale:

Bleeding from the gums can be a sign of excessive bleeding, which is a major risk of thrombolytic therapy. This would be a reason to stop the drug infusion.

Choice C rationale:

A decreased level of consciousness can have many causes and is not specifically associated with thrombolytic therapy.

Choice D rationale:

An increase in blood pressure is not typically a reason to stop thrombolytic therapy.

So, the correct answer is B, after analyzing all choices.

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A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. Which action would the nurse take first?.

Correct Answer is A

Explanation

The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.

Correct Answer is B

Explanation

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

After receiving a change-of-shift report on four patients, which patient would the nurse assess first?.

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The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?.

A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?.

The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

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Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?.

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension.

While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.