What should a client receiving spironolactone for heart failure avoid?

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Cardiovascular Nursing Questions Questions

Question 1 of 5

What should a client receiving spironolactone for heart failure avoid?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, and excess potassium intake can lead to hyperkalemia.

Question 2 of 5

What is the nurse's priority intervention if a client receiving furosemide IV reports dizziness when standing?

Correct Answer: C

Rationale: Furosemide can cause volume depletion and hypotension, leading to dizziness when standing.

Question 3 of 5

The valve between the right atrium and the right ventricle is called the:

Correct Answer: B

Rationale: The tricuspid valve prevents backflow from the right ventricle to the right atrium during contraction.

Question 4 of 5

A patient with a large non-functioning pituitary macroadenoma is found to have pan-hypopituitarism. He has had orthostasis, nausea, and weight loss for 8-12 months. Which of these would be most consistent with this?

Correct Answer: D

Rationale: Pan-hypopituitarism from a large pituitary macroadenoma impairs multiple hormone axes, including TSH secretion, leading to secondary hypothyroidism (low or normal TSH with low free T4). Visual field defects are possible but less specific here, and hypergonadotropic hypogonadism is incorrect as LH would be low.

Question 5 of 5

Which of the following is not considered part of routine initial anti-thrombotic therapy for NSTEMI patients, at time of presentation to the ER?

Correct Answer: D

Rationale: Abciximab, a IIb/IIIa inhibitor, is not part of routine initial therapy for NSTEMI; aspirin, clopidogrel, and heparin are standard per guidelines.

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