Difficulty: Medium
Average Score: 66%
Simulated
The nurse is caring for a client who has heart failure with an EF of 40%. The client has a BP of 170/67 with an HR of 60. He currently is in normal sinus rhythm and has an amber urine output of 45ml in the last 3 hours. Which medication would the nurse expect to give first?
Correct answer
D
Rationale
Low urine output suggests hypovolemia, and a normal saline bolus is the first step to optimize intravascular volume and improve cardiac output in heart failure.