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.

A. To reduce LDL cholesterol and triglycerides to prevent additional plaques, B. To prevent platelet aggregation in order to prevent thrombus formation. C. To relieve acute episodes of angina when they occur. D. To decrease blood pressure and reduce the workload of the heart.

Correct Answer is D

Explanation

A. Lisinopril is not used to reduce LDL cholesterol and triglycerides; statins are used for that purpose.
B. Lisinopril does not prevent platelet aggregation; antiplatelet agents like aspirin are used for that purpose.
C. Lisinopril is not used to relieve acute angina; nitrates like nitroglycerin are used for that purpose.
D. Lisinopril is an ACE inhibitor that helps decrease blood pressure and reduce the workload on the heart, which is beneficial in managing chronic stable angina.

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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

A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

Correct Answer is D

Explanation

A client has been admitted repeatedly in the past year for episodes of atrial flutter which the cardiologist believes are caused by an area of conduction in the atria other than the SA node. Medications have not improved the condition. Which procedure should the nurse anticipate will be performed?

The nurse is caring for a client who has left-sided heart failure. Which statement made by the patient would be consistent with left-sided heart failure?

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

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