A patient with heart failure is prescribed sotalol for atrial fibrillation. Which of the following should the nurse recognize as a potential concern?

Increases the force of the heart's contractions (Positive Inotropic Effect)

Hypertension

Decreases the force of the heart's contractions (Negative Inotropic Effect)

Hypercholesterolemia

Answer and Explanation

The Correct Answer is C

(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.

(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.

(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.

(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.

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Correct Answer is D

Explanation

(A) X-linked recessive: Requires two mutated genes in females or one in males (e.g., hemophilia, Duchenne muscular dystrophy).

(B) Mitochondrial: Inherited only from the mother, affects energy production.

(C) Autosomal recessive: Requires two copies of a mutated gene (one from each parent) to cause disease (e.g., cystic fibrosis, sickle cell anemia).

(D) Autosomal dominant: A single copy of a mutated gene from one parent is enough to cause a disorder. Examples include Huntington’s disease and Marfan syndrome.

A. Severe dehydration B. Renal calculi C. Polycystic kidney disease D. Glomerulonephritis

Correct Answer is A

Explanation

(A) Severe Dehydration: Prerenal AKI is caused by reduced blood flow to the kidneys. Dehydration leads to hypovolemia, reducing renal perfusion and causing AKI.

(B) Renal Calculi: Postrenal AKI, not prerenal.

(C) Polycystic Kidney Disease: Chronic kidney disease, not acute.

(D) Glomerulonephritis: Intrarenal AKI, due to direct kidney damage

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A patient with heart failure is prescribed sotalol for atrial fibrillation. Which of the following should the nurse recognize as a potential concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which inheritance pattern requires only one mutated gene to cause a disorder?

Correct Answer is D

Explanation

A patient is diagnosed with acute kidney injury (AKI) caused by prerenal factors. Which of the following is most likely to have contributed to this condition?

Correct Answer is A

Explanation

Which clinical manifestation would the nurse expect in a patient with hypocalcemia?

Which of the following are signs and symptoms of hypernatremia? (Select all that apply)

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A patient with hyperparathyroidism is likely to have which electrolyte imbalance?

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