Question

3. The nurse has administered 20 mg of furosemide (Lasix) IV to a patient with CHF. Diuresis is expected to occur A. within 24 hours B. within 5-10 minutes C. between 1 to 3 hours D. over 4 to 6 hours . A client who has history of angina and hypertension now complains of fatigue, shortness of breath and cough. The nurse suspects the client might be developing A. Peripheral edema B. Right-sided heart failure C. Left sided heart failure D. Hypokalemia 5. A client presents in the emergency department with chest pain. The nurse knows that which of the following conditions can cause chest pain? Select all that apply A. Gastric Reflux B. Arthritis C. Peptic ulcer disease D. Myocardial infarction 6. The nurse is preparing to administering atenolol (Tenormin) to client with angina. Which of the following vital signs would cause the nurse to question administering this drug? A. Blood pressure 134/72 B. Oxygen saturation 95% C.Pulse 52 beats per minute D. Respirations 12 breaths per minute

Answer 1

3. Furosemide is a loop diuretic. Action starts within 30 to 60 minutes with oral administration. With IV administration the action is faster and starts within 5 minutes. So B) within 5-10 minutes

4. Patient with angina and hypertension can experience complication of congestive heart failure. With right heart failure the symptoms will be edema, weight gain, fatigue etc. In left sided heart failure, left ventricle fails and blood from lungs is not pumped effectively. So the symptoms will be shortness of breath, fatigue and cough. So the answer is C) Left sided heart failure.

5. A client will have chest pain in Myocarial infarction since coronary circulation is affected. The client can also have chest pain in Gastric reflux, since the esophageal sphincter is in the chest and the client may explain heart burn or chest pain when severe. So the answers are A) Gastric reflux, D) Myocardial infarction.

6. Atenolol is a beta blocker and it lowers blood pressure and and has a effect on circulation and it can reduce the pulse rate and heart rate. Therefore the nurse should consider administering atenolol if the client has bradycardia. So the answer is C) Pulse 52 beats per minute.