Complete the following sentence: Given the patient’s symptoms of dyspnea and fatigue, the nurse anticipates the primary care provider may increase the dose of (medication class) to help reduce fluid overload.

Beta blockers

Diuretics

Ace Inhibitors

Answer and Explanation

The Correct Answer is B

Choice A reason: Beta blockers like metoprolol reduce heart rate and demand, improving heart failure long-term. They don’t directly reduce fluid overload causing dyspnea and fatigue, focusing instead on cardiac remodeling, not acute volume relief.

Choice B reason: Diuretics like furosemide increase urine output, reducing fluid overload in heart failure. They directly relieve dyspnea and fatigue by lowering preload and pulmonary congestion, the most effective class for these symptoms.

Choice C reason: ACE inhibitors like lisinopril ease vascular resistance, aiding heart failure. They reduce fluid indirectly via aldosterone suppression, but diuretics act faster on acute overload, making them secondary for immediate symptom relief.

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Correct Answer is C

Explanation

Choice A reason: A cardiac diet (low sodium, low fat) supports blood pressure control long-term by reducing vascular strain. However, it’s less immediate than addressing adherence, as dietary change alone won’t correct current medication misuse driving the elevation.

Choice B reason: Cardiac assessment identifies complications like hypertrophy, useful for monitoring. It’s reactive, not proactive, and doesn’t address the root issue of inconsistent adherence, which directly impacts blood pressure control and outcomes now.

Choice C reason: Medication education tackles adherence, the primary cause of uncontrolled hypertension here. Teaching proper use ensures therapeutic levels, reducing pressure via vasodilation or fluid control, directly improving outcomes with evidence-based efficacy.

A. True B. False

Correct Answer is A

Explanation

Choice A reason: Hospitalized patients often have immobility, surgery, or illness, increasing VTE risk via stasis, vessel injury, and hypercoagulability (Virchow’s triad). Studies show up to 60% of VTE cases occur in this setting, confirming the statement.

Choice B reason: False implies low VTE risk in hospitals, contradicting evidence. Inactivity and acute conditions elevate risk significantly, with prophylaxis standard in guidelines, as immobility alone triples clot formation likelihood.

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Complete the following sentence: Given the patient’s symptoms of dyspnea and fatigue, the nurse anticipates the primary care provider may increase the dose of (medication class) to help reduce fluid overload.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the following sentence: Given the patient’s elevated blood pressure and inconsistent medication adherence, the nurse should prioritize (intervention) to help improve blood pressure control and patient outcome

Correct Answer is C

Explanation

Many hospitalized patients are at risk for developing VTE.

Correct Answer is A

Explanation

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Complete the following sentence: Given the patient’s symptoms of dyspnea and fatigue, the nurse anticipates the primary care provider may increase the dose of (medication class) to help reduce fluid overload.