A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

Digoxin (Lanoxin) 0.125 mg.

Captopril (Capoten) 25 mg.

Furosemide (Lasix) 60 mg.

Carvedilol (Coreg) 3.125 mg. .

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Digoxin is used to treat heart failure and atrial fibrillation, but it doesn’t directly address the fluid accumulation in the lungs caused by pulmonary edema.

Choice B rationale:

Captopril, an ACE inhibitor, can help reduce fluid buildup and is typically beneficial for patients with pulmonary edema.

Choice C rationale:

Furosemide is a diuretic that helps remove excess fluid from the body, making it a key medication for treating pulmonary edema.

Choice D rationale:

Carvedilol, a beta blocker, can be used to treat heart failure and hypertension, conditions that can contribute to pulmonary edema.

So, the correct answer is A, 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. Pericarditis. B. Arterial obstruction or aneurysm. C. Forceful atrial contraction to overcome ventricular resistance. D. An infectious valvular disorder.

Correct Answer is C

Explanation

Choice A rationale:

Pericarditis is an inflammation of the pericardium and would not directly cause an S4 heart sound.

Choice B rationale:

Arterial obstruction or aneurysm would cause changes in blood flow, but not specifically an S4 heart sound.

Choice C rationale:

An S4 heart sound is an extra sound that is heard late in diastole just before S1. It occurs due to resistance to blood flow in an enlarged ventricle, often due to forceful atrial contraction to overcome ventricular resistance.

Choice D rationale:

An infectious valvular disorder could cause a variety of heart sounds, but not specifically an S42.

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

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A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

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

While auscultating a patient's heart sounds, a nurse detects a fourth heart sound (S4). The nurse understands that this finding possibly indicates:.

Correct Answer is C

Explanation

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

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

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A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

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

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