an older adult client with heart failure hf and hypertension htn is receiving atenolol furosemide and enalapril which assessments are essential to eva
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Nursing Elites

HESI RN

HESI RN Exit Exam 2024 Quizlet Capstone

1. An older adult client with heart failure (HF) and hypertension (HTN) is receiving atenolol, furosemide, and enalapril. Which assessments are essential to evaluate the effectiveness of the medications?

Correct answer: B

Rationale: Monitoring daily weight and blood pressure is crucial to assess the effectiveness of diuretics (furosemide) and antihypertensives (atenolol, enalapril) in managing heart failure and hypertension. Changes in weight indicate fluid status, while blood pressure readings reflect the control of hypertension. Assessing bowel sounds and range of motion are important but not directly related to evaluating the effectiveness of these specific medications in this scenario. Monitoring for hypokalemia is important due to furosemide's potential side effect, but it is not the primary assessment to evaluate medication effectiveness.

2. A middle-aged woman talks to the nurse in the healthcare provider's office about uterine fibroids, also called leiomyomas or myomas. What statement by the woman indicates more education is needed?

Correct answer: D

Rationale: The correct answer is D because fibroids that do not cause symptoms do not necessarily need to be removed unless they pose other health risks. Choice A provides accurate information about the prevalence of fibroids among women of the woman's age group. Choice B correctly describes fibroids as noncancerous tumors. Choice C lists common symptoms associated with fibroids, which is relevant information. However, choice D is incorrect as fibroids that are asymptomatic or not causing problems usually do not require treatment, unless they lead to complications or health risks.

3. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during the first 12 hours after admission?

Correct answer: A

Rationale: The correct answer is side-lying on the left with the head elevated 10 degrees. This position maximizes ventilation and promotes better perfusion to the unaffected lung. Placing the client in this position helps to optimize oxygenation and reduce pressure on the affected lung. Choices B, C, and D are incorrect because lying on the left side with the head elevated is essential to facilitate better lung expansion and gas exchange in the unaffected lung, while lying on the right side could further compromise the affected lung by increasing pressure on it.

4. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. What is the nurse’s best response?

Correct answer: C

Rationale: Diuretics must be continued as long as the fluid problem persists to prevent heart failure symptoms.

5. A client with atrial fibrillation is prescribed warfarin. Which instruction should the nurse include in the teaching?

Correct answer: B

Rationale: Clients on warfarin are at increased risk of bleeding due to its anticoagulant effects. Using an electric razor reduces the risk of cuts and bleeding, which is an important safety precaution. While leafy greens should not be avoided, their intake should be consistent to maintain a stable level of vitamin K in the body. Monitoring blood pressure daily is important for other conditions but not directly related to warfarin therapy. Avoiding bananas and oranges is not a standard instruction for clients on warfarin.

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