A nurse is caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to:

Avoid abrupt discontinuation of the medication.

Take the medication with a high-fat meal.

Limit fluid intake to prevent fluid overload.

Take the medication in the evening to promote sleep.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Beta-blockers should not be abruptly discontinued, as sudden discontinuation can lead to rebound effects and worsen the client's condition. Gradual tapering of the medication is necessary under the guidance of the healthcare provider.

B) This choice is incorrect because taking a beta-blocker with a high-fat meal is not necessary. Beta-blockers can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.

C) This choice is incorrect because limiting fluid intake is not specific to the administration of beta-blockers. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.

D) This choice is incorrect because the timing of beta-blocker administration varies depending on the specific beta-blocker prescribed and the client's individual response. Some beta-blockers may be taken in the morning, while others may be taken in the evening. The client should follow the prescribed schedule given by the healthcare provider.

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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.

A. Limit fluid intake to 1 liter per day. B. Restrict fluids only in the evening. C. Drink fluids primarily with meals. D. Monitor daily weights and report sudden weight gain.

Correct Answer is D

Explanation

A) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.

B) This choice is incorrect because fluid restriction should not be limited to the evening only. Clients with CHF should monitor their fluid intake throughout the day to prevent fluid overload.

C) This choice is incorrect because drinking fluids primarily with meals may not be sufficient for managing fluid intake. Fluid intake should be balanced throughout the day to avoid excessive fluid retention.

D) This choice is correct. Monitoring daily weights is an essential strategy for clients with congestive heart failure to manage fluid balance. Sudden weight gain can indicate fluid retention, a common symptom of CHF. Clients should be instructed to report any significant weight changes to their healthcare provider promptly.

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A nurse is caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to:

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Naxlex Comprehensive Predictor Exams

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 nurse is providing education to a client with congestive heart failure about managing fluid intake. The nurse should instruct the client to:

Correct Answer is D

Explanation

A client with congestive heart failure is prescribed spironolactone, a potassium-sparing diuretic. The nurse should instruct the client to:

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 caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?

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?

A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?

A nurse is providing discharge teaching to a client with congestive heart failure. The client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which instruction is essential for the client to follow?

A client with congestive heart failure presents with swollen ankles, legs, and abdomen. The nurse should document these findings as:

A client with a history of hypertension and diabetes mellitus presents to the clinic with complaints of fatigue, difficulty breathing, and frequent urination at night. Which risk factor is most likely contributing to the client's symptoms?