A nurse is caring for a 68-year-old male client with congestive heart failure in the Medical-Surgical unit.
The nurse reviews the client's nursing note, vital signs, and diagnostic results. Based on the findings, which of the following prescriptions should the nurse anticipate for this client?
Complete the following sentence by using the lists of options.
The nurse should anticipate the provider to prescribe
The Correct Answer is {"dropdown-group-1":"C"}
Choice A rationale: Furosemide is a loop diuretic used to reduce fluid overload in CHF patients. However, it can exacerbate electrolyte imbalances, particularly hypokalemia. Since the client is already experiencing muscle spasms and has low calcium levels, additional diuretic therapy could worsen these symptoms.
Choice B rationale: Metoprolol is a beta-blocker used to manage hypertension and heart rate in CHF patients. While beneficial for blood pressure control, it does not address the immediate issue of muscle spasms and constipation the client is experiencing.
Choice C rationale: Potassium chloride is indicated to address potential hypokalemia, which may be causing the client's muscle spasms. CHF patients on diuretics often experience low potassium levels, so supplementation is crucial to prevent complications and alleviate symptoms.
Choice D rationale: Acetaminophen is an analgesic and antipyretic, useful for pain and fever management. However, it does not address the client's reported muscle spasms, which are likely related to electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Antagonistic reactions occur when one drug interferes with the action of another, decreasing its effectiveness. This is not applicable in this case as aspirin and alcohol together increase the risk of bleeding rather than opposing each other's actions.
Choice B rationale
Synergistic reactions happen when two drugs enhance each other's effects. Aspirin and alcohol together can indeed increase the risk of gastrointestinal bleeding, but this is not referred to as a synergistic reaction.
Choice C rationale
Additive reactions occur when two drugs with similar effects add up to a greater effect. Aspirin and alcohol both increase the risk of bleeding, and their combined effect leads to gastrointestinal bleeding.
Choice D rationale
Neutral reactions imply that the drugs do not interact and have no combined effect, which is incorrect here as the combination of aspirin and alcohol leads to an increased risk of GI bleeding.
Correct Answer is A
Explanation
Choice A rationale
Digoxin immune fab (Digibind) is an antidote used to treat digoxin toxicity, which can present with symptoms like blurred vision, vomiting, and weight loss.
Choice B rationale
Acetaminophen is a pain reliever and fever reducer, which does not treat digoxin toxicity.
Choice C rationale
Warfarin is an anticoagulant used to prevent blood clots, not to treat digoxin toxicity.
Choice D rationale
Insulin is used to control blood sugar levels and is not related to treating digoxin toxicity.
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