A patient who has atrial fibrillation is taking digoxin. The nurse expects which medication to be given concurrently to treat this condition?

Correct Answer: D

Rationale: The correct answer is D, Warfarin (Coumadin). Warfarin is commonly given concurrently with digoxin in patients with atrial fibrillation to prevent blood clots and reduce the risk of stroke. Digoxin helps control heart rate in atrial fibrillation but does not prevent clot formation. Choices A, B, and C are incorrect as they do not address the need for anticoagulation in atrial fibrillation. Hydrochlorothiazide is a diuretic, Inamrinone and Milrinone are inotropes used for heart failure, but none of these medications are indicated for anticoagulation in atrial fibrillation.

Correct Answer: C

Rationale: The correct answer is C: Blood pressure of 140/88 mmHg. This finding indicates a need for discussion with the healthcare provider because it suggests uncontrolled hypertension, which is a significant risk factor for cardiovascular disease in individuals with diabetes. High blood pressure can lead to complications such as heart disease, stroke, and kidney disease. A: Hemoglobin A1C level of 6.2% is within the target range for a person with diabetes, indicating good blood sugar control. B: A heart rate at rest of 58 beats/min is within the normal range for an active individual and is not a cause for concern. D: A high-density lipoprotein (HDL) level of 65 mg/dL is considered desirable and is a positive indicator for cardiovascular health.

Correct Answer: C

Rationale: The correct answer is C because a blood pressure of 90/54 mm Hg indicates hypotension, a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause a decrease in blood pressure. Choices A and B are more indicative of anxiety or stress rather than a side effect of metoprolol. Choice D, a normal sinus rhythm on the heart monitor, is a desired outcome and not a side effect of metoprolol.

Correct Answer: C

Rationale: Step-by-step rationale for why Option C is correct: 1. Alpha1-antitrypsin deficiency predisposes individuals to develop chronic obstructive pulmonary disease (COPD). 2. Smoking exacerbates the risk of COPD in individuals with AAT deficiency. 3. By stating, "Your risk for COPD is higher, especially if you smoke," the nurse addresses the patient's concern and provides relevant information. 4. This response acknowledges the connection between AAT deficiency, COPD risk, and smoking, empowering the patient to make informed decisions about their health. Summary of why the other choices are incorrect: A. Incorrect. AAT deficiency does not directly impact the children's risk for COPD; it is the individual who has the deficiency who is at risk. B. Incorrect. While genetic counseling may be beneficial, it does not directly answer the patient's question about the implications of AAT deficiency. D. Incorrect. AAT deficiency can impact the individual's health, especially their

Correct Answer: D

Rationale: The correct answer is D: collaborate with other care providers. In home care, nurses need to work together with other care providers like physicians, therapists, and social workers to ensure comprehensive care for patients. Collaboration promotes effective communication, coordination, and delivery of services. Providing all care and services (choice A) is not feasible for one nurse. Maintaining a clean home environment (choice B) is important but not a core responsibility of nurses. Advising patients on financial matters (choice C) is typically outside the scope of nursing practice.