Nokea
Clients taking diuretics for chronic congestive heart failure need to be taught to report
- A. 1-lb weight gain in 2 days
- B. Seeing yellow hazes around bright lights
- C. Change in the heart rate
- D. Change in activity tolerance
Correct Answer: A
Rationale: Weight gain indicates fluid retention.
You may also like to solve these questions
What test measures the pressure in the arteries during the contraction and relaxation of the heart?
- A. Blood pressure test
- B. Electrocardiogram (ECG or EKG)
- C. Spirometry
- D. Pulse oximetry
Correct Answer: A
Rationale: The correct answer is A: Blood pressure test. This test measures the pressure in the arteries during the heart's contraction (systolic pressure) and relaxation (diastolic pressure). It provides important information about heart health and overall cardiovascular function. The other choices are incorrect because B (ECG) measures the heart's electrical activity, C (Spirometry) measures lung function, and D (Pulse oximetry) measures oxygen saturation in the blood, not arterial pressure.
The client is receiving digoxin and complains of nausea. What is the nurse's priority action?
- A. Check the client's digoxin level.
- B. Continue the current dose of digoxin.
- C. Administer an antiemetic for nausea.
- D. Discontinue the digoxin immediately.
Correct Answer: A
Rationale: The correct answer is A: Check the client's digoxin level. The priority action is to assess the digoxin level to determine if it is within the therapeutic range, as nausea can be a sign of digoxin toxicity. Checking the level will guide further actions. Continuing the dose without assessment (B) may worsen toxicity. Administering an antiemetic (C) only addresses the symptom, not the underlying cause. Discontinuing digoxin immediately (D) without assessing the level can be harmful if the client actually needs the medication.
For what reason might the nurse be given an order to administer milrinone (Primacor)?
- A. For congestive heart failure
- B. For hypertension
- C. For cardiac arrhythmias
- D. For bradycardia
Correct Answer: A
Rationale: The correct answer is A: For congestive heart failure. Milrinone is a phosphodiesterase inhibitor used to improve cardiac output in patients with severe heart failure. It works by increasing the force of heart contractions. Therefore, it is specifically indicated for congestive heart failure to help improve cardiac function. Choices B, C, and D are incorrect because milrinone is not typically used for hypertension, cardiac arrhythmias, or bradycardia. It is important to understand the specific indications and mechanisms of action of medications to determine the appropriate use in clinical practice.
What is the condition where the body's immune system attacks its tissues, causing inflammation and damage?
- A. Autoimmune disease
- B. Infectious disease
- C. Allergic reaction
- D. Degenerative disease
Correct Answer: A
Rationale: The correct answer is A: Autoimmune disease. In autoimmune diseases, the immune system mistakenly attacks the body's tissues, leading to inflammation and damage. This occurs due to a breakdown in immune tolerance, resulting in the immune system targeting self-antigens. This leads to chronic inflammation and tissue damage. In contrast, infectious diseases are caused by pathogens, allergic reactions are responses to harmless substances, and degenerative diseases involve the gradual deterioration of tissues over time. Therefore, autoimmune disease best fits the description provided in the question.
In Mrs. Jones' discharge teaching with a permanent pacemaker, which point should be covered?
- A. She should not get pregnant because her heart would not be able to tolerate the increased workload
- B. She should not exercise regularly
- C. She can return to the degree of sexual activity that is desired and tolerable for her
- D. It is not necessary to make a return visit to her physician
Correct Answer: C
Rationale: Sexual activity can generally continue with appropriate precautions.