Which of the following is a complication of heart failure?

Pleural effusion

Infection

Asthma

Hemorrhage

Answer and Explanation

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.

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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 ["1636.4"]

Explanation

Convert pounds to kilograms:
- Weight in kilograms = 90 pounds / 2.2 pounds/kg = 40.9090... kg. For practical purposes, we can round to 40.91kg.
Calculate the heparin dose:
- The ordered bolus dose is 40 units/kg.
- Heparin dose = 40.91 kg 40 units/kg = 1636.4 units.
Round to the nearest tenth:
- The heparin dose is 1636.4 units.

= 1636.4 units

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Which of the following is a complication of heart failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Correct Answer is A

Explanation

The nurse is to administer heparin to a client who weighs 90 pounds. Heparin is ordered as 10,000 units/100mL. The nurse needs to administer a bolus of 40units/kg. How many units would the nurse administer? (Round to the nearest tenth)

Correct Answer is ["1636.4"]

Explanation

A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)

What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?

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