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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 D

Explanation

A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.

A. Lanoxin increases the heart rate B. Lanoxin increases the force of cardiac contractions C. Lanoxin order should be questioned in this diagnosis. D. Lanoxin decreases the force of cardiac contractions

Correct Answer is B

Explanation

Rationale:

A. Lanoxin does not typically increase heart rate significantly.

B. Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.

C. Lanoxin is commonly used in the treatment of heart failure.

D. Lanoxin does not decrease the force of cardiac contractions.

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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 providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is D

Explanation

A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Correct Answer is B

Explanation

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