Cardiac Question #1

Question

The nurse performs admission assessment for an older client admitted to the telemetry floor. The client’s history reveals type 2 diabetes, mitral valve prolapse, and hypertension. Which assessment information is an important indication of risk for heart failure (HF) (Select all that apply)?

Answers

  1. The patient takes furosemide (Lasix) 20 mg/day.
    • Rationale:
  2. The patient's potassium level is 4.7 mEq/L.
    • Rationale:
  3. The patient is an African American man.
    • Rationale:
  4. The patient's age is greater than 65.
    • Rationale:

Overview

Explanation

Prevalence of HF increases with age and having other conditions such as diabetes and hypertension may increase risks for having HF. Studies have revealed HF risks in African American men and women because of higher linkages with ethnicity and other co-morbidities that may contribute to heart disease and HF. Other risk factors are obesity, elevated cholesterol, smoking, and ischemic heart disease.

Potassium levels do not indicate HF, and the level indicated in selection B is within normal range. While some clients take loop diuretics such as furosemide for HF, the drug may also be used for other reasons.

Learning Outcomes

Test Taking Tip

Video Rationale