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A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension.

While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

"Do not stand still for prolonged periods of time.”.

"Even if you feel fine, do not stop taking the drugs.”.

"Eat foods with low potassium.”.

"Upon waking up in the morning, get out of bed slowly.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This is correct. Standing still for prolonged periods can cause blood to pool in the legs, increasing blood pressure.

Choice B rationale:

This is also correct. Stopping the medication abruptly can cause a rebound increase in blood pressure.

Choice C rationale:

This is incorrect. Furosemide is a diuretic that can cause the body to lose potassium, so it’s important to consume potassium-rich foods.

Choice D rationale:

This is correct. Furosemide can cause orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down.

So, the correct answer is Choice C, after analyzing all choices.

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Correct Answer is B

Explanation

Choice A rationale:

A weight increase from 120 pounds to 122 pounds over 3 days is within the normal fluctuation range.

Choice B rationale:

A serum potassium level of 3.0 mEq/L after 1 week of therapy is concerning because it’s below the normal range (3.5-5.0 mEq/L)171819. This could indicate hypokalemia, which can cause serious complications if left untreated.

Choice C rationale:

A palpable liver edge 2 cm below the ribs on the right side could suggest an abnormality such as an enlarged liver.

Choice D rationale:

The presence of 1+ to 2+ edema in the feet and ankles could indicate conditions like heart failure or venous insufficiency.

So, the correct answer is Choice B, after analyzing all choices.

A. "Do you have a history of a heart attack?". B. "Have you had any recent immunizations?". C. "Do you have a family history of endocarditis?". D. "Have you had dental work done recently?".

Correct Answer is D

Explanation

Choice A rationale:

While a history of heart attack indicates a general risk for heart disease, it is not specifically associated with an increased risk for infective endocarditis.

Choice B rationale:

Immunizations do not typically increase the risk for infective endocarditis.

Choice C rationale:

Family history of endocarditis does not necessarily increase the risk for infective endocarditis.

Choice D rationale:

Dental work can introduce bacteria into the bloodstream, which can lead to infective endocarditis, especially in individuals with prosthetic heart valves.

So, the correct answer is D, after analyzing all choices.

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A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

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Naxlex Comprehensive Predictor Exams

A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?.

Correct Answer is B

Explanation

The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?.

Correct Answer is D

Explanation

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A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.

The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension.

While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.