Which of the following medications would be appropriate for heart failure treatment?

Diphenhydramine

Epinephrine

Propylthiouracil (PTU)

Furosemide

Answer and Explanation

The Correct Answer is D

Choice A reason: Diphenhydramine, an antihistamine, treats allergies or sleep issues by blocking histamine, not addressing heart failure’s fluid overload or cardiac dysfunction.

Choice B reason: Epinephrine boosts heart rate and pressure in emergencies like anaphylaxis, but it worsens heart failure by increasing cardiac workload, not reducing fluid.

Choice C reason: Propylthiouracil treats hyperthyroidism by inhibiting thyroid hormone, unrelated to heart failure’s need for fluid management or cardiac support.

Choice D reason: Furosemide, a loop diuretic, reduces fluid overload in heart failure by increasing urine output, relieving pulmonary edema and systemic congestion effectively.

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Correct Answer is A

Explanation

Choice A reason: Sun exposure triggers lupus rashes by inducing photosensitivity, increasing inflammation via UV damage, so stating it decreases risk is incorrect and needs correction.

Choice B reason: Ibuprofen, an NSAID, reduces lupus joint pain by inhibiting prostaglandin synthesis, a common and appropriate management strategy, so this is accurate.

Choice C reason: Fever signals lupus flare-ups from systemic inflammation, an early immune response marker, making this statement correct and aligned with disease patterns.

Choice D reason: Resting between activities conserves energy and reduces lupus fatigue and inflammation, a recommended self-management technique, so this is appropriate advice.

A. When your pain is controlled and your serum amylase level decreases B. When you have active bowel sounds and are passing flatus C. As soon as you start to feel hungry you can begin eating D. Oral intake can be started when you are more active

Correct Answer is B

Explanation

Choice A reason: Pain control and lower amylase help, but resuming eating depends on gut function (bowel sounds, flatus), not just lab or pain status.

Choice B reason: Active bowel sounds and flatus indicate gut recovery post-pancreatitis, signaling readiness for oral intake, the most accurate marker for feeding resumption.

Choice C reason: Hunger isn’t a reliable indicator; eating too soon risks pancreatitis worsening if the gut isn’t ready, despite pain or amylase levels.

Choice D reason: Activity level doesn’t assess gut function; eating hinges on bowel recovery (sounds, flatus), not mobility, making this less precise.

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Which of the following medications would be appropriate for heart failure treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client who is newly diagnosed with lupus. Which of the following statements would require further teaching?

Correct Answer is A

Explanation

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?

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