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 B
Explanation
Choice B rationale
Sucralfate (Carafate) acts by forming a viscous, adhesive substance that binds to the ulcer site, creating a physical barrier protecting it from stomach acid and allowing healing.
Choice A rationale
Sucralfate does not function as an endogenous prostaglandin; it does not mimic or enhance prostaglandin activity in the GI tract.
Choice C rationale
Sucralfate does not neutralize gastric acid; that is the function of antacids.
Choice D rationale
Sucralfate does not antagonize H2 receptors on parietal cells; H2 receptor antagonists are a different class of medication.
Correct Answer is A
Explanation
Choice A rationale
Naloxone (Narcan) is an opioid antagonist that works by binding to opioid receptors in the central nervous system, displacing opioids, and reversing their effects such as respiratory depression and sedation.
Choice B rationale
Abstinence syndrome is treated with medications that manage withdrawal symptoms rather than reversing opioid effects, which is not naloxone's primary use.
Choice C rationale
Naloxone does not have analgesic properties, meaning it does not relieve pain; it is specifically used to counteract opioid overdose.
Choice D rationale
Naloxone is not used to treat hypoglycemia, which is a condition of low blood sugar levels, managed by glucose administration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.