Which of the following is a complication of heart failure?
Pleural effusion
Infection
Asthma
Hemorrhage
The Correct Answer is A
A. Pleural effusion is a common complication of heart failure. Increased pressure in the pulmonary circulation can cause fluid to accumulate in the pleural space, leading to dyspnea and decreased lung expansion.
B. Infection is not a direct complication of heart failure. However, individuals with heart failure may have an increased risk of infections due to a weakened immune system.
C. Asthma is not a complication of heart failure. While both conditions can cause shortness of breath, asthma is a separate respiratory disorder.
D. Hemorrhage is not associated with heart failure. Instead, heart failure can lead to clotting abnormalities or increased bleeding risk if the client is on anticoagulants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Metformin is correct. The combination of iodinated contrast dye and metformin increases the risk of contrast-induced nephropathy (CIN) and lactic acidosis, especially in clients with pre-existing kidney dysfunction. Metformin should be held before and after the procedure until renal function is reassessed.
B. Nitroglycerin is used for angina and does not interact with contrast dye.
C. Atorvastatin (a statin) is used for cholesterol management and has no significant interaction with contrast dye.
D. Carvedilol (a beta-blocker) is used for heart failure and hypertension but does not increase the risk of contrast-induced kidney injury.
Correct Answer is A
Explanation
A. "Try taking a mild analgesic to relieve the headache." is correct. Nitroglycerin-induced headaches are a common side effect due to vasodilation. Mild analgesics such as acetaminophen can help alleviate the discomfort.
B. Taking only one dose to reduce the risk of a headache is inappropriate. The client should follow the prescribed dosing regimen to manage angina effectively. Skipping doses may increase the risk of angina attacks.
C. Requesting a different medication is not necessary. Nitroglycerin is an effective treatment for stable angina, and headaches typically diminish over time as the body adjusts to the medication.
D. Stating that nothing can be done to relieve the headaches is incorrect. Headaches from nitroglycerin can be managed with mild analgesics or by adjusting the timing of medication administration.
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