Which of the following medications would be appropriate for heart failure treatment?
Diphenhydramine
Epinephrine
Propylthiouracil (PTU)
Furosemide
The Correct Answer is D
Choice A reason: Diphenhydramine, an antihistamine, treats allergies or sleep issues by blocking histamine, not addressing heart failure’s fluid overload or cardiac dysfunction.
Choice B reason: Epinephrine boosts heart rate and pressure in emergencies like anaphylaxis, but it worsens heart failure by increasing cardiac workload, not reducing fluid.
Choice C reason: Propylthiouracil treats hyperthyroidism by inhibiting thyroid hormone, unrelated to heart failure’s need for fluid management or cardiac support.
Choice D reason: Furosemide, a loop diuretic, reduces fluid overload in heart failure by increasing urine output, relieving pulmonary edema and systemic congestion effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.
Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.
Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.
Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.
Correct Answer is C
Explanation
Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.
Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.
Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.
Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.
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