A patient who has been treated for heart failure is being prescribed furosemide (Lasix) 20 mg orally daily upon discharge from the hospital. Which of the following statements by the patient would indicate to the nurse the need for further teaching reinforcement for this medication? (Select all that apply.)

"I will take the Lasix in the morning."

"I will drink lots of fluids with the Lasix."

"I will count my radial pulse for one minute."

"I will take it with each meal."

"I will eat a banana daily."

Answer and Explanation

Correct Answer : B,D

Choice A reason: Taking Lasix in the morning is appropriate to avoid nocturia and sleep disturbances.

Choice B reason: Patients should be cautious with fluid intake when taking Lasix to avoid fluid overload, especially in heart failure.

Choice C reason: Counting the radial pulse is not directly related to Lasix administration but is a good practice for monitoring heart rate.

Choice D reason: Lasix should not be taken with each meal; it is usually taken once daily unless otherwise prescribed.

Choice E reason: Eating a banana daily is recommended to replenish potassium that may be lost due to the diuretic effect of Lasix.

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Correct Answer is A

Explanation

Choice A Reason:Coronary artery bypass graft surgery (CABG) is not primarily performed to increase blood flow to the myocardium. Instead, it aims to restore blood flow to areas of the heart affected by blockages.

Choice B Reason:CABG does not intentionally decrease blood flow to the coronary arteries. On the contrary, it creates a new pathway to bypass blocked or partially blocked coronary arteries, improving blood flow to the heart muscle.

Choice C Reason:The primary purpose of CABG is to treat coronary artery disease by restoring blood flow to areas of the heart that aren't receiving enough blood. It involves using healthy blood vessels (usually from the chest or leg) to create a detour around blockages. By doing so, CABG improves heart function and reduces symptoms related to ischemia.

Choice D Reason:While CABG can indirectly prevent spasms of the coronary arteries by improving blood flow, it is not its primary purpose.

A. Reducing saturated fats. B. Avoiding trans fats. C. Consuming whole grains. D. Limiting sugar-sweetened beverages. E. Drinking whole milk. F. Limiting fruit intake.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Reducing saturated fats, which are found primarily in red meat and full-fat dairy products, can lower low-density lipoprotein (LDL) cholesterol — the "bad" cholesterol.

Choice B reason: Avoiding trans fats is crucial as they increase LDL cholesterol and decrease high-density lipoprotein (HDL) cholesterol — the "good" cholesterol.

Choice C reason: Consuming whole grains is beneficial for lowering cholesterol because they contain soluble fiber, which can reduce the absorption of cholesterol into the bloodstream⁶.

Choice D reason: Limiting sugar-sweetened beverages can help reduce cholesterol levels, as excessive sugar intake can lead to weight gain, which is a risk factor for high cholesterol.

Choice E reason: Drinking whole milk is not recommended for cholesterol control as it contains high levels of saturated fat, which can raise cholesterol levels.

Choice F reason: Limiting fruit intake is not necessary for cholesterol control; in fact, fruits can be beneficial due to their fiber content⁶.

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Naxlex Comprehensive Predictor Exams

The nurse would evaluate a female patient, age 68, as understanding teaching on the purpose of coronary artery bypass graft surgery if she made which of the following statements?

Correct Answer is A

Explanation

The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

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A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

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