Heart Failure Nurse Question & Answer Guide (With Explanation)

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Original Question

Heart Failure The nurse is caring for a 78-year-old client diagnosed with heart failure. The client is prescribed baby aspirin, simvastatin, and albuterol. The healthcare provider increased the client’s dose of furosemide to 40 mg a day. The following are the medication details: Medication Name Dose (mg, units, drops) When Taken (daily, at bedtime, etc.) Reason for Taking (blood pressure, diabetes, etc.) furosemide ​ 40 mg ​ Daily ​ Diuretic ​aspirin baby ​ 81 mg ​ Daily ​ Cardioprotective ​simvastatin ​ 40 mg ​ Daily ​ Lower cholesterol ​albuterol ​ 2 puffs ​ As needed ​ Asthma ​The client reported dizziness, headaches, blurred vision, and a dry mouth. The healthcare provider obtained a basic metabolic panel (BMP) test during the client’s clinic visit. ​BMP Result Reference Range Sodium: 130 mEq/L (136-145 mEq/L) ​Potassium: 3.2 mEq/L ​ (3.5-5 mEq/L) ​Chloride: 99 mEq/L ​ (98-106 mEq/L) Bicarbonate: 28 mEq/L ​ ​ (23-28 mEq/L) Glucose: 80 ​mg/dL (65-100 mg/dL) Blood urea nitrogen (BUN): 8 ​mg/dL (8-25 mg/dL) Creatine: 1.0 ​mg/dL (0.8-1.4 mg/dL) ​Carbon dioxide: 18 ​mEq/L (18-30 mEq/L)​What is the cause of the client’s condition? Metabolic acidosis Side effects of albuterol Side effects of loop diuretics ​Dehydration

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