Nokea
A patient is receiving spironolactone for heart failure. Which of the following findings should the nurse report to the provider?
- A. Hyperkalemia
- B. Hypernatremia
- C. Hyponatremia
- D. Hypokalemia
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can lead to hyperkalemia due to its mechanism of action. Hyperkalemia, or elevated potassium levels, can result in serious cardiac complications and requires immediate medical attention. Therefore, the nurse should promptly report any signs or symptoms of hyperkalemia to prevent potential adverse outcomes in the patient.
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When converting from IV heparin to oral warfarin (Coumadin) therapy, the prescriber monitors which of the following to determine the next appropriate dose of warfarin?
- A. Platelet levels
- B. aPTT
- C. Red blood cell count
- D. PT/INR
Correct Answer: D
Rationale: When converting from IV heparin to oral warfarin therapy, the prescriber monitors the Prothrombin Time (PT) and International Normalized Ratio (INR) to determine the next appropriate dose of warfarin. PT measures the time it takes for blood to clot and INR helps standardize PT results. These tests are crucial in evaluating and adjusting the dosage of warfarin to achieve the desired anticoagulant effect while minimizing the risk of bleeding. Monitoring PT/INR levels regularly is essential to ensure that the patient receives the correct dose of warfarin for their specific condition and to prevent complications. Platelet levels, aPTT, and red blood cell count are not typically used to monitor warfarin therapy.
A client has a prescription for Hydralazine. Which of the following instructions should the nurse include?
- A. Take the medication at bedtime.
- B. Monitor your blood pressure regularly.
- C. Expect to have increased energy levels.
- D. Avoid foods high in potassium.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the antidote for Warfarin?
- A. Vitamin D
- B. Vitamin
- C. Vitamin K
- D. Vitamin B has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: The antidote for Warfarin, a common blood thinner medication, is Vitamin K. Warfarin works by inhibiting Vitamin K-dependent coagulation factors, which prevents blood clotting. In case of an overdose or excessive bleeding while taking Warfarin, administering Vitamin K can help counteract the effects of the medication and promote blood clotting.
A healthcare professional is preparing to administer Diltiazem IV to a client who has atrial fibrillation. Which of the following findings should the healthcare professional report immediately?
- A. Bradycardia.
- B. Hypertension.
- C. Shortness of breath.
- D. Tachycardia.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Labetalol. Which of the following instructions should be provided?
- A. Take the medication with food.
- B. Monitor your blood glucose levels.
- C. Expect a rapid heart rate.
- D. Increase your intake of high-sodium foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.