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    Ati med surg (cardiovascular) freshno college proctored exam

    A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?

    Explanation & Rationale

    Rationale: A. In acute heart failure, especially following an MI, clients are at risk for fluid volume overload. Administering a relatively large volume of isotonic fluid could exacerbate pulmonary edema and worsen heart failure. This prescription requires clarification with the provider before administration. B. Furosemide is a loop diuretic commonly prescribed to reduce fluid overload in heart failure. This prescription is appropriate for managing pulmonary congestion and edema. C. Monitoring electrolytes, particularly potassium, is essential in heart failure patients receiving diuretics. This helps prevent dysrhythmias and is appropriate. D. Morphine may be used in acute heart failure to relieve anxiety and dyspnea; this prescription is appropriate as ordered.

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