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NCLEX Question of the Day
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A patient with heart failure has gained 4 pounds (1.8 kg) in the past week and has edema in both legs. Which of the following medications should the nurse expect to be prescribed?
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Metoprolol
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Digoxin
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Lisinopril
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Correct answer Furosemide
Rationale
The medication that the nurse should expect to be prescribed for a patient with heart failure who has gained weight and has leg edema is furosemide (Lasix). Furosemide is a loop diuretic that helps to reduce fluid overload by promoting diuresis and natriuresis.
In heart failure, the weakened heart is unable to pump blood effectively, leading to fluid retention, weight gain, and edema. Diuretics like furosemide are a mainstay of heart failure treatment to reduce congestion and improve symptoms. Metoprolol (a beta-blocker), lisinopril (an ACE inhibitor), and digoxin (an inotrope) are also used in heart failure management but do not directly address fluid overload.
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