The nurse is caring for a client on amiodarone who

Question 1 of 5

The nurse is caring for a client on amiodarone who develops a cough. What is the most appropriate action?

A. Notify the healthcare provider immediately. B. Reassure the client that this is a common side effect. C. Continue the amiodarone and monitor the client's symptoms. D. Discontinue the amiodarone immediately.

Correct Answer: A

Rationale: Rationale for Correct Answer A: The nurse should notify the healthcare provider immediately because a cough can be a sign of a serious side effect of amiodarone called pulmonary toxicity. Prompt action is necessary to prevent further complications. The healthcare provider needs to assess the client, possibly order diagnostic tests, and determine the appropriate course of action. Summary of Incorrect Choices: B: Reassuring the client without further assessment could lead to delayed recognition of a serious issue. C: Continuing amiodarone without addressing the cough may worsen the condition. D: Discontinuing amiodarone without consulting the healthcare provider may not be appropriate and could lead to adverse effects or worsening of the client's condition.

Question 2 of 5

A 2400 mg sodium diet is prescribed for the patient with chronic heart failure. The nurse recognizes that additional teaching is necessary when the patient states

A. I should limit my milk intake to 2 cups a day B. I can eat fresh fruits and vegetables without worrying about sodium levels C. I can eat most foods as long as I do not add salt when cooking or at the table D. I need to read the labels on prepared foods and medicines for their sodium content

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

You are the charge nurse for the coronary care step-down unit. Which patient is best to assign to an RN who has floated for the day from the general medical-surgical unit?

A. Patient requiring discharge teaching about coronary artery stenting prior to going home with spouse today. B. Patient receiving IV furosemide (Lasix) to treat acute left ventricular failure. C. Patient just transferred from the radiology department after a coronary angioplasty. D. Patient just admitted with unstable angina and who has orders for a heparin infusion and aspirin

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

As the charge nurse in a long-term-care (LTC) facility that has RN, LPN/LVN, and nursing assistant staff members, you have developed a plan for ongoing assessment of all residents with a diagnosis of heart failure. Which of these activities included in the plan is most appropriate to delegate to an LPN/LVN team leader?

A. Weigh all residents with heart failure each morning. B. Listen to lung sounds and check for edema weekly. C. Review all heart failure medications with residents every month. D. Update activity plans for residents with heart failure every quarter.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following structures of the heart is called the pacemaker of the heart?

A. AV junction B. SA node C. AV node D. Purkinje fibers

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is caring for a client on amiodarone who develops a cough. What is the most appropriate action?

Nurselytic

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