A nurse is caring for a client with an acute heart failure exacerbation. Which of the following medications are commonly prescribed to manage heart failure? (Select all that apply.)
Atorvastatin
Furosemide
Methimazole
Apixaban
Correct Answer : B,E
A. Atorvastatin is a statin used primarily to manage hyperlipidemia (high cholesterol levels) and reduce cardiovascular risk. However, it is not specifically used to treat heart failure symptoms or manage acute exacerbations.
B. Furosemide is a loop diuretic commonly used to manage heart failure. It helps reduce fluid overload by promoting diuresis (increased urine production), which can help alleviate symptoms of heart failure such as edema and pulmonary congestion.
C. Methimazole is an antithyroid medication used to manage hyperthyroidism. It is not used to treat heart failure. Thyroid disorders can impact heart failure, but methimazole itself does not address the acute symptoms or underlying mechanisms of heart failure.
D. Apixaban is an anticoagulant (blood thinner) used to prevent blood clots in conditions like atrial fibrillation. However, it is not used specifically to manage acute heart failure symptoms.
E. Digoxin is a cardiac glycoside that can be used to manage heart failure, especially in patients with atrial fibrillation. It helps improve cardiac output and control heart rate. Digoxin can be useful in managing heart failure symptoms by enhancing the heart's contractility and controlling the heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chemotherapy often requires multiple infusions over a long period, and a CVAD provides a reliable and convenient access point for these treatments. It allows for the continuous or intermittent administration of chemotherapy drugs, which are often irritating to veins and require precise dosing.
B. While CVADs are used for administering chemotherapy and other treatments, they are not typically used to implant radioactive material for internal radiation (brachytherapy).
C. While CVADs reduce the need for repeated venipunctures and can help manage the complications of frequent injections, they do not eliminate the risk of infection. CVADs can themselves become a source of infection if not properly maintained, as they are open to the external environment.
D. The placement of a CVAD does not directly affect the side effects of chemotherapy, such as nausea and vomiting. The CVAD’s role is primarily related to the administration of medications and access to blood vessels.
Correct Answer is C
Explanation
A. Women with lupus should ensure that they get plenty of sun each day while they are pregnant. Exposure to sunlight can exacerbate lupus symptoms, especially in women with lupus photosensitivity. It's important for women with lupus to avoid excessive sun exposure and wear protective clothing and sunscreen.
B. Women with lupus should not become pregnant, because the disease poses too many risks. While pregnancy can pose additional risks for women with lupus, it is not always contraindicated. With proper management, many women with lupus can have healthy pregnancies.
C. It is important for women with lupus to receive frequent prenatal care and close monitoring of their lupus symptoms throughout pregnancy. This includes regular check-ups with a rheumatologist and obstetrician, monitoring of blood pressure, kidney function, and lupus activity, as well as screening for fetal development.
D. Women with lupus should avoid all medications during pregnancy to prevent harm to the baby. This is not always the case. Some medications may be necessary to manage lupus symptoms during pregnancy, and the benefits often outweigh the risks. It's important to discuss medication options with healthcare providers to determine the best course of action.
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