Question

46. A hospital client with heart failure has begun taking digoxin. What should the nurse include in the client's plan of care? A) Ensure mivacurium chloride is readily available B) Monitor the client's heart rate daily C) Ensure that the client has easy access to the bathroom D) Administer the drug with food to minimize GI upsetatue 47. Which drug is in the class of drugs called human B-type natriuretic peptides? tA) Bosentan B) Milrinone C) Digoxin D) Nesiritide 48. The nurse evaluates an what assessment finding? A) Using fewer pillows to sleep B) Increased skin turgor go stomong vad oi nia d da C) Heart rate regular D) Improved mental status improvement in the client's heart failure (HF) status based on 49. When evaluating an 82-year-old client receiving hydrochlorothiazide, what laboratory value is most likely to result from the medication? A) Elevated uric acid levels B) Reduced blood urea nitrogen (BUN) levels C) Serum potassium level of 4.7 mmol/L (4.7 mEq/L) D) Hemoglobin Aic of 4.8% nilo taigood A 50. What statement by the client indicates that the client understand the nurse's teaching about diuretics? A) "I will weigh myself daily and report significant changes." B) "I will have to limit my high sugar foods." C) "If my leg gets swollen again, I'll take an additional pill." D) "I will take my medication before bedtime on an empty stomach." (A 51. The nurse is assessing a client who takes a loop diuretic. For what adverse effect should the nurse assess? A) Hyperkalemia B) Alkalosis C) Hypertension D) Hypercalcemia

Answer 1

Ans) 46) B) Monitor the client's heart rate daily.

Explaination:

- Teach patient to take pulse and to contact health care professional before taking medication if pulse rate is <60 or >100.

- Digoxin helps slow the heart rateby reducing the number of electrical impulses that pass through (but do not originate in) the atrioventricular (AV) node into the lower heart chambers (ventricles).

47) D) Nesiritide

Explaination:

- Nesiritide, a recombinant human B-type natriuretic peptide, is the first in a new drug class for the treatment of decompensated heart failure.

- The drug binds to receptors in the vasculature, kidney, adrenal gland, and brain, and overcomes resistance to endogenous BNP present in patients with CHF.

48) C) Heart rate regular

Explaination:

A normal resting heart ratefor adults ranges from 60 to 100 beats per minute. Generally, a lower heart rate at rest implies more efficient heart function and better cardiovascular fitness i.e Improves heart rate.

49) A) Elevated Uric Acid level

Explaination:

Hydrochlorothiazide Effects on lab test results
• May increase glucose, cholesterol, triglyceride, calcium, and uric acid levels. May decrease potassium, sodium, and chloride levels.
• May decrease hemoglobin, hematocrit, and granulocyte, WBC, and platelet counts.