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A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Hypocalcemia

Hypernatremia

Hyperkalemia

Hypokalemia

Answer and Explanation

The Correct Answer is D

Rationale:

A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.

B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.

C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.

D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.

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Correct Answer is A

Explanation

Rationale:

A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.

B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.

C. This statement may minimize the client's concerns and is not the best response.

D. This statement is not specific and may not address the client's concerns.

A. Look for P waves on the strip B. Count how many QRS occur in a 6 second strip C. Read the monitor or electrocardiogram interpretation. D. Measure the T waves

Correct Answer is B

Explanation

Rationale:

A. Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.

B. Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.

C. Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.

D. Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.

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A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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