Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
History and PhysicalNurses Notes
Vital Signs
Diagnostic Results
The client is a 68-year-old male with a history of congestive heart failure (CHF), hypertension, and type 2 diabetes mellitus. He was admitted to the unit due to worsening fatigue, shortness of breath, and peripheral edema. He reports constipation and muscle spasms for the past three days. His last bowel movement was two days ago. He is alert and oriented x4 and ambulatory with assistance.
A nurse is caring for a 68-year-old male client with congestive heart failure in the Medical-Surgical unit. The nurse reviews the client's nursing note, vital signs, and diagnostic results. Based on the findings, which of the following prescriptions should the nurse anticipate for this client? Complete the following sentence by using the lists of options. The nurse should anticipate the provider to prescribe
Correct answer
C
Rationale
The correct answer is C: Potassium chloride 20 mEq PO. In congestive heart failure, patients often receive diuretics like Furosemide (choice A) to reduce fluid overload, hence potassium supplementation is necessary to prevent hypokalemia. Metoprolol (choice B) is a beta-blocker used in heart failure but not specifically indicated here. Acetaminophen (choice D) is a pain reliever and not directly related to heart failure management.