A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

Digoxin (Lanoxin) 0.125 mg.

Captopril (Capoten) 25 mg.

Furosemide (Lasix) 60 mg.

Carvedilol (Coreg) 3.125 mg. .

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Digoxin is used to treat heart failure and atrial fibrillation, but it doesn’t directly address the fluid accumulation in the lungs caused by pulmonary edema.

Choice B rationale:

Captopril, an ACE inhibitor, can help reduce fluid buildup and is typically beneficial for patients with pulmonary edema.

Choice C rationale:

Furosemide is a diuretic that helps remove excess fluid from the body, making it a key medication for treating pulmonary edema.

Choice D rationale:

Carvedilol, a beta blocker, can be used to treat heart failure and hypertension, conditions that can contribute to pulmonary edema.

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

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Correct Answer is D

Explanation

Choice A rationale:

The pain level of 3 to 5 on a scale of 0 to 10 does not specifically indicate chronic stable angina.

Choice B rationale:

Pain that has worsened over the last week could indicate a number of conditions, not specifically chronic stable angina.

Choice C rationale:

Pain that wakes a patient up at night could be a sign of a number of conditions, not specifically chronic stable angina.

Choice D rationale:

Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient’s pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina.

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

A. Check the electrocardiogram (ECG) for ST segment changes. B. Assess for the presence of jugular venous distention (VD). C. Monitor for changes in the patient's sedimentation rate. D. Assess for the presence of a paradoxical pulse.

Correct Answer is B

Explanation

Choice A rationale:

ST segment changes on an ECG are not typically associated with chronic constrictive pericarditis.

Choice B rationale:

Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective.

Choice C rationale:

While the sedimentation rate can indicate inflammation, it is not specific to chronic constrictive pericarditis.

Choice D rationale:

The presence of a paradoxical pulse is not typically associated with chronic constrictive pericarditis.

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

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A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

Correct Answer is D

Explanation

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

Correct Answer is B

Explanation

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