A patient newly admitted with pulmonary edema is due to receive several medications. Which medication should the nurse efore administration?

Furosemide (Lasix) 60 mg

Captopril (Capoten) 25 mg

Digoxin (Lanoxin) 0.125 mg

Carvedilol (Coreg) 3.125 mg

Answer and Explanation

The Correct Answer is C

Choice A rationale
Furosemide (Lasix) is a diuretic often used in the treatment of pulmonary edema to help remove excess fluid from the body. While it’s important to monitor the patient’s fluid and electrolyte balance, it’s not typically necessary to question this medication.
Choice B rationale
Captopril (Capoten) is an ACE inhibitor used to treat conditions like heart failure and high blood pressure. It can be beneficial in managing pulmonary edema by reducing the workload on the heart. It’s not typically necessary to question this medication.
Choice C rationale
Digoxin (Lanoxin) is a medication used to treat heart failure and atrial fibrillation. It’s important to question this medication before administration because digoxin has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it’s crucial to ensure the patient’s digoxin levels are within the therapeutic range before administering more of the medication.
Choice D rationale
Carvedilol (Coreg) is a beta-blocker used to treat high blood pressure and heart failure. While it’s important to monitor the patient’s blood pressure and heart rate, it’s not typically necessary to question this medication.

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Free Nursing Study Resources

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

Explanation

Choice A rationale
Advocating for a diet rich in saturated fats is not a recommended strategy to prevent cardiovascular disease. Saturated fats can raise the level of cholesterol in your blood and increase your risk of heart disease.
Choice B rationale
Recommending cessation of smoking is a crucial intervention to prevent cardiovascular disease. Chemicals in tobacco can damage the heart and blood vessels, leading to narrowing of the arteries (atherosclerosis), which can ultimately lead to a heart attack.
Choice C rationale
Regular blood pressure monitoring is important as high blood pressure is a significant risk factor for heart disease. Controlling blood pressure helps ensure that your heart is not working harder than it should be, which can prevent damage to your heart and arteries.
Choice D rationale
Regular cholesterol screenings are essential because high levels of cholesterol can lead to the buildup of plaques in your arteries, increasing your risk of heart disease.
Choice E rationale
Regular physical exercise helps control your weight and can reduce your chances of developing other conditions that may put a strain on your heart, such as high blood pressure, high cholesterol, and diabetes.
Choice F rationale
Suggesting no more than 5 alcoholic drinks a day is not a recommended strategy to prevent cardiovascular disease. In fact, it is advised to limit alcohol intake as excessive drinking can lead to high blood pressure, heart failure, or even stroke.

A. On the left side at the midclavicular line, fifth intercostal space. B. Directly over the heart on the sternum. C. On the right side at the midclavicular line, fourth intercostal space. D. At the midaxillary level on the left side.

Correct Answer is A

Explanation

Choice A rationale
The apical pulse, also known as the point of maximal impulse (PMI), is located at the fifth intercostal space at the left midclavicular line. This is the location where the heartbeat is strongest and is the standard location for assessing the apical heart rate.
Choice B rationale
Placing the stethoscope directly over the heart on the sternum is not the standard method for assessing the apical heart rate. While the sternum is close to the heart, it is not the location where the heartbeat is strongest or most easily heard.
Choice C rationale
The right side at the midclavicular line, fourth intercostal space, is not the standard location for assessing the apical heart rate. The heart is located more towards the left side of the chest, and the apical pulse is typically not as easily heard on the right side.
Choice D rationale
The midaxillary line on the left side is not the standard location for assessing the apical heart rate. While this location is on the left side of the chest, it is not where the heartbeat is strongest or most easily heard.

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A patient newly admitted with pulmonary edema is due to receive several medications. Which medication should the nurse efore administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a nurse in a community-based setting, you are educating clients on strategies to prevent cardiovascular disease. Which interventions should you include? (Select all that apply)

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

Explanation

In the context of interprofessional care of the client and family, where should a nurse position the stethoscope on the chest to assess a client’s apical heart rate?

Correct Answer is A

Explanation

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