27. A nurse is caring for a client who has acute heart failure and is receiving

Question

27. A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates a desired therapeutic effect?

Increased sputum production

Decreased weight

Decreased blood glucose level

Increased blood pressure

54. A nurse is assessing a client who receives monthly injections of cyanocobalamin. Which of the following findings indicates a therapeutic effect of the medication?

Absence of hand tremors

Hematocrit 45%

Potassium 3.8 mEq/L

Improved appetite

67. A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply)

Urine output 80 ml in 4 hr

Absence of deep-tendon reflexes

Report of chills

Decreased level of consciousness

Systolic blood pressure 130 mm Hg

52. A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching?

Hypotension

Bradycardia

Hyperglycemia

Leukopenia

55. A nurse is caring for a client who reports that her current pain medication is no longer relieving her pain.  Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider?

Butorphanol

Fentanyl

Lorazepam

Pentazocine

64. A nurse is assessing a client who has Grave’s diseases and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

Diaphoresis

Bradycardia

Weight loss

Exopthalmos

Explanation / Answer

27. Ans: decreased weight. Furosemide is given for reduction of extra fluid in the body due to heart failure, liver disease and kidney disease. It is also used to treat high blood pressure, prevention of strokes, heart attacks and kidney problems. Thus reduction in weight indicates the edema is reduced.
54. Ans: absence of hand tremors. It is a vitamin B12 supplement. A symptom of vitamin B12 deficiency is hand tremors.
67. Ans: urine output, absence of deep tendon reflexes, decreased levels of consciousness. These all are the signs of magnesium sulphate toxicity. The other signs are decreased blood pressure, decreased urine output, decreased respiration and absence of patella reflex.
52. Ans: leukopenia. The other side effects are anaemia, thrombocytopenia.
55. Ans: Pentazocine. It is a narcotic drug. Thus written prescription is needed. All others are analgesics.
64. Ans: weight loss.

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