A child hospitalized with heart failure has extremely high blood ...

[pepyto]

A child hospitalized with heart failure has extremely high blood pressure. Which medication does the nurse prepare to administer?
 
  A.
  Digoxin (Lanoxin)
  B.
  Dobutamine (Dobutrex)
  C.
  Enalapril (Vasotec)
  D.
  Hydrochlorothiazide (Aquazide)

Question 2

A child is hospitalized with heart failure and is receiving furosemide (Lasix). Which nursing action is the priority?
 
  A.
  Administer oxygen.
  B.
  Encourage rest.
  C.
  Provide meticulous skin care.
  D.
  Monitor brain natriuretic peptide.

[KKcool]

Answer to Question 1

ANS: C
Enalapril is a calcium-channel blocker that reduces systemic vascular resistance, or afterload. Digoxin and dobutamine are positive inotropic agents. Hydrochlorothiazide is a diuretic.

Answer to Question 2

ANS: A
A child with heart failure receiving furosemide will have pulmonary congestion from fluid backup into the lungs. The nurse should provide oxygen as the priority action. The other actions are important for this child but do not take priority. Rest will help the body heal and reduce metabolic needs. Skin care is important for edematous tissues. Brain natriuretic peptide does help quantify fluid retention, but monitoring does not actively provide care for the child.

[pepyto]

Thanks for the timely response, appreciate it

[okolip]

Excellent