The health care provider has written the following orders for a client with bounding peripheral pulses, weight gain of 2 lb., pitting edema, and moist crackles bilaterally. Which order will the nurse complete first?

Metoprolol 50 mg. PO daily.

Maintain accurate intake and output records.

Furosemide (Lasix) 40 mg IV push.

Encourage fluid intake more than 2000 mL/day

Answer and Explanation

The Correct Answer is C

The client's symptoms of bounding peripheral pulses, weight gain, pitting edema, and moist crackles bilaterally suggest fluid volume overload or fluid retention. Furosemide (Lasix) is a loop diuretic that helps to promote diuresis and reduce fluid volume. Administering the medication promptly can help address the client's symptoms and alleviate the fluid overload.

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Correct Answer is B

Explanation

The given observations suggest the occurrence of malignant hyperthermia (MH), a potentially life-threatening reaction to certain medications used during anesthesia. MH is characterized by an increase in heart rate (tachycardia), elevated body temperature (hyperthermia), and muscle rigidity. The primary treatment for MH is the administration of dantrolene, which is a skeletal muscle relaxant that helps to counteract the effects of the reaction.

Naloxone (Narcan) is an opioid receptor antagonist used to reverse the effects of opioid overdose or excessive opioid sedation.

Furosemide (Lasix) is a diuretic used to treat conditions such as edema and high blood pressure.

Flumazenil (Romazicon) is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose or excessive sedation.

A. "You may notice an orange coloring to your urine! B. "Be sure to take a stool softener to prevent constipation. C. "We will need to check your labs frequently for bleeding risk” D. "You may experience a chronic dry cough."

Correct Answer is D

Explanation

The nurse should inform the client that a common side effect of Lisinopril, an ACE inhibitor, is a chronic dry cough. ACE inhibitors can cause irritation in the respiratory tract, leading to a persistent cough. It is important for the client to be aware of this side effect and report it to their healthcare provider if it becomes bothersome.

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The health care provider has written the following orders for a client with bounding peripheral pulses, weight gain of 2 lb., pitting edema, and moist crackles bilaterally. Which order will the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During surgery, the nurse makes the following observations about the patient: Pulse rises from 68 beats per minute to 110 beats per minute. Temperature increases from 36.5 C to 38.50 Muscles appear rigid. The circulating nurse anticipates preparation of:

Correct Answer is B

Explanation

The nurse is providing education to a client who is prescribed Lisinopril (ACE inhibitor) for hypertension. The nurse will be sure to include what information about a common side effect?

Correct Answer is D

Explanation

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