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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the care of a client on a medical surgical unit who was admitted from the emergency department. Exhibits For each assessment finding on Day 2 click to specify if the finding is due to lisinopril, carvedilol, or furosemide. Each finding may be related to more than 1 medication.

    Explanation & Rationale

    Calcium level: Decreased due to furosemide, a loop diuretic that increases calcium excretion in the urine, leading to mild hypocalcemia. Potassium level: Decreased due to furosemide, which causes potassium loss through diuresis. Lisinopril, an ACE inhibitor, can cause potassium retention, but in this case, the effect of furosemide dominates. Sodium level: Decreased due to furosemide-induced diuresis, which can lead to hyponatremia by excessive sodium loss. Edema: Improved due to furosemide, which promotes fluid removal and reduces volume overload associated with heart failure. Oxygen saturation: Improved due to carvedilol, which reduces heart failure symptoms by decreasing myocardial oxygen demand and improving cardiac output. Blood pressure: Lowered due to both carvedilol (a beta-blocker) and lisinopril (an ACE inhibitor), both of which reduce systemic vascular resistance. Weight: Decreased due to both carvedilol, which helps manage fluid retention over time in heart failure, and furosemide, which directly reduces fluid overload through diuresis.

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