A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate to his client? (Select All that Apply)

Acetaminophen

Amiodarone

Indomethacin

Answer and Explanation

Correct Answer : A,C

Choice A Reason:

Acetaminophen is often used to manage pain and fever associated with pericarditis. It is a common analgesic and antipyretic that helps alleviate discomfort without causing significant gastrointestinal side effects. However, it does not have anti-inflammatory properties, so it is typically used in conjunction with other medications that address inflammation.

Choice B Reason:

Amiodarone is an antiarrhythmic medication used to treat and prevent various types of serious irregular heartbeats, such as ventricular tachycardia or ventricular fibrillation. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.

Choice C Reason:

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and pain associated with pericarditis. NSAIDs are commonly prescribed for pericarditis to help manage symptoms and reduce inflammation. Indomethacin, along with other NSAIDs like ibuprofen, is often part of the first-line treatment for this condition.

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Correct Answer is B

Explanation

Choice A reason: Increased Serum Sodium

Increased serum sodium, or hypernatremia, is not consistent with SIADH. SIADH typically results in hyponatremia, which is a low level of sodium in the blood due to excessive water retention. The excess antidiuretic hormone (ADH) causes the kidneys to retain water, diluting the sodium in the bloodstream. Therefore, increased serum sodium is not a characteristic finding in SIADH.

Choice B reason: Decreased Serum Osmolality

Decreased serum osmolality is a hallmark of SIADH3. Serum osmolality measures the concentration of solutes in the blood. In SIADH, the excessive release of ADH leads to water retention, diluting the blood and lowering serum osmolality. This is a key diagnostic feature of SIADH and helps differentiate it from other conditions.

Choice C reason: Decreased Urinary Sodium

Decreased urinary sodium is not typically seen in SIADH. In fact, patients with SIADH usually have increased urinary sodium levels. This is because the kidneys excrete more sodium in an attempt to balance the excess water retained due to high ADH levels. Therefore, decreased urinary sodium is not consistent with SIADH.

Choice D reason: Decreased Urine Osmolality

Decreased urine osmolality is also not consistent with SIADH. In SIADH, urine osmolality is typically increased because the kidneys concentrate the urine due to the action of ADH. The high levels of ADH cause the kidneys to reabsorb water, resulting in more concentrated urine. Thus, decreased urine osmolality is not a characteristic finding in SIADH.

A. I need to walk slowly as I lose my balance often. B. I have a small-healed area on my spine that is painful. C. I don’t go out much because of the pain in my legs. D. It makes me sad that I can’t keep up with my grandchildren.

Correct Answer is A

Explanation

Choice A reason:

“I need to walk slowly as I lose my balance often” is a significant safety concern for a client with peripheral artery disease (PAD). Balance issues can increase the risk of falls, which can lead to serious injuries, especially in clients with compromised circulation. PAD can cause muscle weakness and pain, which may contribute to balance problems. Reporting this symptom to the provider is crucial for further evaluation and intervention to prevent falls and improve the client’s mobility and safety.

Choice B reason:

“I have a small-healed area on my spine that is painful” is not directly related to peripheral artery disease. While pain in different parts of the body can be concerning, this statement does not indicate an immediate safety risk associated with PAD. However, it is still important for the nurse to document and monitor this symptom, as it could be related to other underlying conditions.

Choice C reason:

“I don’t go out much because of the pain in my legs” is a common symptom of PAD known as claudication, which is pain caused by too little blood flow during exercise. While this statement indicates a significant impact on the client’s quality of life, it does not pose an immediate safety risk that requires urgent reporting. The nurse should provide education on managing claudication and encourage the client to engage in supervised exercise programs to improve circulation.

Choice D reason:

“It makes me sad that I can’t keep up with my grandchildren” reflects the emotional and psychological impact of PAD on the client’s life. While this is an important aspect of the client’s overall well-being, it does not represent an immediate safety concern. The nurse should address the client’s emotional health and consider referring them to a mental health professional for support.

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A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate to his client? (Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who has the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings is consistent with a diagnosis of SIADH?

Correct Answer is B

Explanation

A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?

Correct Answer is A

Explanation

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A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)

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