What is the priority action when educating a client with heart failure about potassium-sparing diuretics?

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Question 1 of 5

What is the priority action when educating a client with heart failure about potassium-sparing diuretics?

Correct Answer: A

Rationale: Potassium-sparing diuretics can cause hyperkalemia, so potassium intake should not be increased. Blood pressure monitoring is important, and muscle weakness may indicate electrolyte imbalances.

Question 2 of 5

A 34 y/o wom an presents with an 8 month history of bloating & abdominal pain relieved after BM. She tends toward constipation. She has a history of dysmenorrhea & a sister with dermatitis herpetiformis. She denies travel, ETOH use, or weight loss. Labs show mild Iron Deficiency Anemia and negative Tissue Transglutaminase Ab. What is the next best step in evaluation?

Correct Answer: C

Rationale: Symptoms suggest IBS or celiac disease. Negative TTG Ab doesn't fully rule out celiac (sensitivity ~90%), especially with a family history of dermatitis herpetiformis (celiac-related). Small bowel biopsies via EGD are the gold standard for diagnosis.

Question 3 of 5

A 40-year-old male presents with fever, chills, and a new heart murmur. Blood cultures grow Streptococcus viridans. What is the most likely diagnosis?

Correct Answer: A

Rationale: The presence of fever, a new heart murmur, and positive blood cultures for Streptococcus viridans strongly suggest infective endocarditis.

Question 4 of 5

66 yo woman presents to the emergency room with 3 hours of right-sided face and arm numbness and weakness. In the ER, her examination confirms both a sensory and motor deficit involving the right face and arm.

Correct Answer: D

Rationale: tPA is the first-line treatment for acute ischemic stroke within the appropriate time window.

Question 5 of 5

All are false in lymphoma except:

Correct Answer: C

Rationale: Reed-Sternberg cells define Hodgkin lymphoma. FNA is inadequate (A), B symptoms worsen prognosis (B), and combined therapy increases malignancy risk (D).

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