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 D

Explanation

Choice A reason: This response is a closed-ended question that might not encourage further discussion or reveal the underlying issues.

Choice B reason: This confrontational approach could make the patient defensive and is not conducive to building a therapeutic relationship.

Choice C reason: While encouraging the patient to eat is important, this directive does not address the patient's feelings or concerns.

Choice D reason: Asking an open-ended question invites the patient to share more about their feelings and can lead to a better understanding of their lack of appetite.

A. Weigh monthly. B. Weigh daily. C. Weigh twice a day. D. Weigh weekly.

Correct Answer is B

Explanation

Choice A reason: Weighing monthly is not frequent enough to monitor fluid status effectively in a patient with chronic heart failure.

Choice B reason: Weighing daily is recommended to detect early signs of fluid retention, which is crucial for patients with chronic heart failure.

Choice C reason: Weighing twice a day is not typically necessary unless specifically recommended by a healthcare provider for close monitoring.

Choice D reason: Weighing weekly may miss early signs of fluid retention and is not recommended for daily monitoring of fluid status in chronic heart failure.

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Naxlex Comprehensive Predictor Exams

Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

Correct Answer is D

Explanation

The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

Correct Answer is B

Explanation

What is cyclothymic disorder?

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

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.)

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

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A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?