The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?

Pulmonary Function Test

Alpha-1 Antitrypsin

Brain Natriuretic Peptide

Doppler Ultrasound

Answer and Explanation

The Correct Answer is C

A. A pulmonary function test is used to assess lung diseases like COPD or asthma. It is not the primary diagnostic test for fluid overload and heart failure.
B. Alpha-1 antitrypsin deficiency is associated with early-onset COPD, but it does not relate to symptoms of fluid retention and heart failure as described in the question.
C. Brain Natriuretic Peptide (BNP) is correct. BNP is released when the ventricles stretch due to fluid overload, making it a key diagnostic marker for heart failure. Elevated BNP levels indicate increased cardiac filling pressures and volume overload, which match the client’s symptoms.
D. A Doppler ultrasound is useful for detecting deep vein thrombosis (DVT) or vascular issues, but it does not assess systemic fluid retention and heart failure.

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Correct Answer is A

Explanation

A. Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, reducing airway resistance and improving airflow in COPD patients.
B. Monitoring blood pressure is unrelated to ipratropium use. It primarily acts on the respiratory system, not the cardiovascular system.
C. Relieving nasal congestion is incorrect in this context, though ipratropium nasal spray can be used for rhinorrhea.
D. Reducing coughing is not the primary purpose. While bronchodilation may indirectly reduce cough by improving airflow, it is not a cough suppressant.

A. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. B. Take naproxen for generalized discomfort. C. Exercise at least three times per week. D. Take diuretics early in the morning and before bedtime.

Correct Answer is C

Explanation

A. The client should notify the provider of a weight gain of 2-3 lbs in a day or 5 lbs in a week, as this may indicate fluid retention and worsening heart failure.
B. Naproxen (NSAIDs) should be avoided as they can lead to sodium retention, fluid overload, and worsening heart failure.
C. Exercising at least three times per week is correct. Regular physical activity can help improve cardiovascular function and overall endurance, provided it is within safe limits.
D. Diuretics should be taken in the morning, but not before bedtime. Taking them late can lead to nocturia and sleep disturbances.

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The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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