Prep U Ch. 30 and 34 Heart Failure and Diuretics Prep

Administer early in the day

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize? Administer early in the day. Decrease fluid intake. Gradually increase the dosage. Encourage exercise.

Increased blood glucose levels

A primary health care provider has prescribed a loop diuretic for hypertension in a client with diabetes mellitus. Which assessment should the nurse prioritize? Occurrence of gout attacks Increased blood glucose levels Sudden increase in weight Sudden pain in the joints

Heart rate and blood pressure

A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessment findings? Level of consciousness and pain level Temperature and respiratory rate Heart rate and blood pressure Oxygen saturation and respiratory rate

Teach the client about the blood pressure effects of the medication and relevant safety measures.

A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when standing up quickly from sitting or lying. What is the nurse's best action? Arrange for the client's potassium levels to be assessed as soon as possible. Tell the client to withhold the medication until the client can be assessed by the primary health care provider. Educate the client about the need for bed rest until the body adjusts to the new medication. Teach the client about the blood pressure effects of the medication and relevant safety measures.

digitalis toxicity

A client being treated for hypokalemia has a medication history that includes propranolol, digoxin, and warfarin. When the client reports nausea, abdominal discomfort, and visual changes, the nurse suspects what as the causative factor? acute renal failure myocardial infarction heart failure digitalis toxicity

Furosemide

A client has edema of the lower extremities with crackles in the lung bases. What diuretic is most likely to be prescribed for a client assessed with lower extremity edema and bilateral lung crackles? Spironolactone Mannitol Furosemide Hydrochlorothiazide

Loop diuretic

A client is admitted to the emergency department with pulmonary edema. What diuretic does the nurse expect the health care provider to prescribe to achieve rapid therapeutic effect? Thiazide Loop diuretic Potassium-sparing diuretic Osmotic diuretic

Decreased pitting edema

A client is being treated for heart failure. What assessment finding would the nurse interpret as most indicative of improved health status? Decreased pitting edema Heart rate of 52 Increased skin turgor Improved sensorium

"Do you use a salt substitute?"

A client is taking spironolactone (Aldactone) for edema. The nurse identifies the client's potassium level is 5.4 mEq/L. With this finding which question would be most appropriate for the nurse to ask? "Is your urine dark?" "Do you use a salt substitute?" "Are you experiencing any leg cramps?" "Are you weighing yourself daily?" SUBMIT ANSWER

52 beats/minute

A male client has called the clinic because he is taking digoxin and is concerned about his pulse rate. The nurse should tell the client to hold the medication if he reports a pulse rate of: 52 beats/minute. 66 beats/minute. 78 beats/minute. 84 beats/minute.

heart failure

The client has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. Which condition is the client most likely experiencing? pneumonia angina pectoris heart failure myocardial infarction

0.8 to 2 ng/mL

The nurse identifies the therapeutic range for digoxin as: 3 to 4 ng/mL. 0.1 to 0.9 ng/mL. 2 to 3 ng/mL. 0.8 to 2 ng/mL.

potassium levels

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely? sodium levels calcium levels potassium levels bone narrow function

inspection of the lower extremities, urine output, daily weights

The nurse is caring for a client with peripheral edema and has just begun taking a diuretic. What assessment should the nurse use to evaluate the effectiveness of this medication? Select all that apply. inspection of the lower extremities urine output chest auscultation daily weights level of consciousness

Positive chronotropic

The pharmacology instructor is discussing effects on the heart of different medication. What is the term the instructor would use to describe the effect of a medication that increases the force of the contractions of the heart? Positive chronotropic Negative inotropic Positive inotropic Negative dromotropic

Peripheral edema

Which would a nurse expect to assess if a client is experiencing right-sided heart failure? Dyspnea Peripheral edema Wheezing Hemoptysis