A patient with heart failure who has been taking an ACE inhibitor, a thiazide diuretic, and a beta blocker for several months comes to the clinic for evaluation
As part of the ongoing assessment of this patient, the nurse will expect the provider to evaluate: a. complete blood count.
b. ejection fraction.
c. maximal exercise capacity.
d. serum electrolyte levels.
D
Patients taking thiazide diuretics can develop hypokalemia, which can increase the risk for dys-rhythmias; therefore, the serum electrolyte levels should be monitored closely. A complete blood count is not recommended. This patient is taking the drugs recommended for patients with Stage C heart failure; although the patient's quality of life and ability to participate in activities should be monitored, routine measurement of the ejection fraction and maximal exercise capacity is not recommended.
You might also like to view...
An adolescent has frequent headaches accompanied by nausea and vomiting. What item is most appropriate for the nurse to include in the teaching plan for this adolescent patient?
A. How to give him- or herself an injection of medication B. The maximum daily dose of acetaminophen (Tylenol) C. Ways to manage temporary ptosis or rhinorrhea D. What to do in case of a seizure during the headache
A patient, age 69, has emphysema. On assessment, the nurse notes the presence of a "barrel chest." What does this pathology result from?
a. An increase in the lateromedial area from hypertrophy of mucous glands in the bronchi b. An increased anteroposterior diameter caused by overinflation of the alveoli c. A decrease in anteroposterior diameter caused by chronic dilation of the bronchi d. A widening of the sternocostal area secondary to chronic constriction of smooth muscles in the airways leading to bronchospasms
Oral antiviral therapy is prescribed for a client with herpes zoster. The nurse would explain to the client that the medication is used to decrease (Select all that apply)
a. itching. b. pain. c. postherpetic neuralgia. d. recurrence. e. spreading.
A patient with sepsis is experiencing an elevated temperature. Which medications would the nurse prepare to administer to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Acetaminophen 2. Ibuprofen 3. Aspirin 4. Warfarin sodium 5. Heparin