A 65-year-old patient with congestive heart failure has been on diuretic therapy for the past two weeks. During a follow-up appointment, which of the following findings would indicate that the diuretic therapy is effective?

Increase in blood pressure and heart rate

Significant weight gain over the past two weeks

Reduction in peripheral edema and improved breathing

Development of muscle cramps and weakness

Answer and Explanation

The Correct Answer is C

Rationale:
A. This would indicate possible fluid retention or worsening heart function, not effective diuretic therapy. Effective diuretics usually help reduce fluid overload, which may lower blood pressure in hypertensive patients.

B. Rapid weight gain is a sign of fluid retention, which suggests diuretic therapy is not effective or the patient’s heart failure is worsening.

C. These findings indicate that excess fluid is being successfully removed from the body. Decreased swelling in the extremities and improved respiratory status reflect effective diuresis and improved cardiac function, which is the goal of therapy.

D. While these can occur due to electrolyte imbalances caused by diuretics, they are adverse effects rather than indicators of effectiveness.

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Correct Answer is D

Explanation

Rationale:
A. This is a long-term treatment for recurrent VT or other arrhythmias. It is not an immediate intervention for acute, unstable VT.

B. Cardiopulmonary resuscitation is performed only if the client is pulseless and unresponsive. While CPR may be necessary in cardiac arrest, it is not the first-line intervention for VT with a pulse.

C. Synchronized cardioversion is used for hemodynamically stable VT with a pulse, but the term “elective” implies a planned procedure, not emergency management.

D. For pulseless VT or VT causing severe instability (e.g., hypotension, altered mental status), defibrillation is the immediate lifesaving intervention. It delivers an unsynchronized shock to restore normal cardiac rhythm.

A. "I will need to increase my fluids to 3 liters per day? B. I should avoid driving due to my implanted defibrillator C. "I should refrain from sexual activity while taking NSAIDS D. "I will contact my health care provider if i develop chest pain.

Correct Answer is D

Explanation

Rationale:
A. While adequate hydration is generally beneficial, pericarditis management does not typically require aggressive fluid intake, and overhydration could exacerbate complications, especially if there is concurrent heart failure.

B. This statement is not relevant to pericarditis, as having pericarditis does not necessitate avoidance of driving unless there are specific complications or comorbidities.

C. NSAIDs are used to reduce inflammation and pain in pericarditis; sexual activity is not contraindicated while on these medications unless the client is experiencing symptoms that limit activity.

D. This indicates understanding because chest pain can signify worsening pericarditis or complications such as cardiac tamponade or myocardial involvement, and prompt evaluation is necessary.

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A 65-year-old patient with congestive heart failure has been on diuretic therapy for the past two weeks. During a follow-up appointment, which of the following findings would indicate that the diuretic therapy is effective?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer is D

Explanation

A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? (Select All that Apply.)

A 65-year-old patient with congestive heart failure has been on diuretic therapy for the past two weeks. During a follow-up appointment, which of the following findings would indicate that the diuretic therapy is effective?

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A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? (Select All that Apply.)

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