A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Hypertension

Hyperkalemia

Bradycardia

Respiratory alkalosis

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hypertension is not a common side effect of digoxin. Digoxin is used to treat heart failure and can help control blood pressure in some cases.

B) This choice is incorrect because hyperkalemia (elevated potassium levels) is not a common side effect of digoxin. In fact, digoxin can sometimes cause hypokalemia (low potassium levels) as a side effect.

C) This choice is correct. Bradycardia (slow heart rate) is a common side effect of digoxin. Digoxin works by increasing the force of the heart's contractions and can slow down the heart rate. Clients taking digoxin should have their heart rate monitored regularly, and the healthcare provider should be notified if the heart rate is below the prescribed parameters.

D) This choice is incorrect because respiratory alkalosis is not a common side effect of digoxin. Digoxin does not directly affect the respiratory system.

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Correct Answer is A

Explanation

A) This choice is correct. Alcohol abuse can lead to dilated cardiomyopathy, a condition in which the heart becomes enlarged and weakened, contributing to congestive heart failure. Chronic alcohol consumption can cause toxic effects on the heart muscle, leading to impaired pumping function.

B) This choice is incorrect because malnutrition, while it can impact overall health, is not a direct precipitating cause of congestive heart failure. However, malnutrition can exacerbate heart failure symptoms and weaken the heart further.

C) This choice is incorrect because a sedentary lifestyle can be a risk factor for heart disease, including congestive heart failure, but it is not a direct precipitating cause of the client's condition in this scenario.

D) This choice is incorrect because occupational exposure to toxins can have health implications, but it is not directly related to the client's signs and symptoms of congestive heart failure in this case.

A. Bradycardia B. Hyperglycemia C. Hypotension D. Dry, nonproductive cough

Correct Answer is C

Explanation

A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.

B) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.

C) This choice is correct. Hypotension (low blood pressure) is a potential adverse effect of furosemide due to its diuretic action. Furosemide causes the excretion of excess fluid, leading to a decrease in blood volume, which can result in hypotension.

D) This choice is incorrect because a dry, nonproductive cough is associated with ACE inhibitors, not furosemide.

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A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of alcohol abuse and malnutrition is admitted with signs and symptoms of congestive heart failure. Which factor is likely a precipitating cause of the client's condition?

Correct Answer is A

Explanation

A client with congestive heart failure is prescribed a daily dose of furosemide. The nurse should monitor the client for which potential adverse effect of this medication?

Correct Answer is C

Explanation

A client with congestive heart failure is prescribed a loop diuretic. The nurse should closely monitor the client for which electrolyte imbalance associated with this medication?

A nurse is reviewing a client's medical history and notes a diagnosis of uncontrolled diabetes mellitus. The nurse recognizes this as a significant risk factor for congestive heart failure due to its association with:

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