A client with a long history of poorly-managed left-sided heart failure complains of decreased urine output. Lab results show anemia and elevated serum creatinine levels. Based on these findings, which condition should the nurse suspect the client is experiencing?

Pleural effusion

Myocardial infarction

Cardiorenal syndrome

Heparin-induced thrombocytopenia (HIT)

Answer and Explanation

The Correct Answer is C

A. Pleural effusion may be a complication of heart failure but does not directly explain the decreased urine output and elevated serum creatinine.

B. Myocardial infarction would present with different symptoms, such as chest pain, rather than decreased urine output and elevated creatinine.

C. Cardiorenal syndrome refers to the interdependence of the heart and kidneys, where chronic heart failure leads to worsening kidney function, causing symptoms like decreased urine output and elevated serum creatinine.

D. Heparin-induced thrombocytopenia (HIT) is related to the use of heparin and presents with low platelet counts, not decreased urine output and elevated creatinine.

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Correct Answer is B

Explanation

A. Taking furosemide in the morning helps prevent nocturia and ensures better management of fluid balance during the day.

B. Gaining 3 pounds in 2 days likely indicates fluid retention rather than an issue with calorie intake. The client should contact their healthcare provider as it may indicate worsening heart failure.

C. Avoiding extreme temperatures is important as they can place additional stress on the cardiovascular system.

D. Limiting salt intake to 2 grams or less per day and reading nutrition labels is appropriate for managing heart failure.

Correct Answer is ["24"]

Explanation

To calculate the IV pump rate, you'll need to use the formula: (Ordered amount of medication (units/hr) × Volume of fluid in mL) / Amount of medication in the volume = IV pump rate in mL/hr. For the given scenario, the ordered amount is 1,200 units/hr, the volume of fluid is 500 mL, and the amount of medication in the volume is 25,000 units. Plugging these numbers into the formula gives you: (1,200 units/hr × 500 mL) / 25,000 units = 24 mL/hr. Therefore, the nurse should set the IV pump to deliver 24 mL/hr.

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A client with a long history of poorly-managed left-sided heart failure complains of decreased urine output. Lab results show anemia and elevated serum creatinine levels. Based on these findings, which condition should the nurse suspect the client is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following statements made by the client requires the nurse to provide correction and additional teaching?

Correct Answer is B

Explanation

Correct Answer is ["24"]

Explanation

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