The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

An Asian male

A Black female

A Hispanic female

A White male

Answer and Explanation

The Correct Answer is B

Choice A reason: While all individuals can develop heart failure, an Asian male is not considered the highest risk group based on the available data.

Choice B reason: A Black female is at a higher risk for developing heart failure, especially due to factors like hypertension, diabetes, and certain socioeconomic factors³.

Choice C reason: A Hispanic female may have multiple risk factors for heart failure, but the prevalence and risk are not as high as in the Black female population³.

Choice D reason: A White male, while at risk for heart failure, does not have the highest risk when compared to a Black female with the same age and health conditions³.

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Correct Answer is D

Explanation

Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.

Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.

Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.

Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.

A. I will have my potassium level checked. B. I will have my calcium level checked. C. I will have my prothrombin time checked. D. I will have my urine sodium checked.

Correct Answer is A

Explanation

Choice A reason: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring potassium levels is important.

Choice B reason: While calcium levels can be affected by furosemide, it is not typically the primary concern.

Choice C reason: Prothrombin time is not usually affected by furosemide and is not routinely monitored unless the patient is on anticoagulant therapy.

Choice D reason: Urine sodium could be checked, but it is the serum potassium that is most commonly monitored due to the risk of hypokalemia with furosemide use.

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The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Correct Answer is D

Explanation

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

Correct Answer is A

Explanation

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

What is cyclothymic disorder?

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.