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?

"Take the medication with a glass of grapefruit juice."

"Monitor your blood pressure daily and adjust the dose accordingly."

"Report any persistent cough or difficulty breathing to your healthcare provider."

"Avoid foods high in potassium while on this medication."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because ACE inhibitors should not be taken with grapefruit juice. Grapefruit juice can interfere with the metabolism of the medication, leading to increased levels and potential side effects.

B) This choice is incorrect because the client should not adjust the dose of the ACE inhibitor without consulting their healthcare provider. Blood pressure should be monitored, but any dosage adjustments should be made by the healthcare provider based on the client's response to the medication.

C) This choice is correct. ACE inhibitors can cause a side effect of a persistent dry cough, and in some cases, difficulty breathing. The client should promptly report these symptoms to their healthcare provider for evaluation and possible adjustment of the medication regimen.

D) This choice is incorrect because while ACE inhibitors can increase potassium levels, avoiding foods high in potassium is not necessary unless specifically directed by the healthcare provider. The client should follow a balanced diet and inform the healthcare provider of any changes in their dietary habits.

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Correct Answer is C

Explanation

A) This choice is incorrect because palpitations refer to an abnormal awareness of the heart's beating, which is not described by the client.

B) This choice is incorrect because angina pectoris is chest pain or discomfort due to inadequate blood flow to the heart muscle. The client's complaint is related to physical activity causing fatigue and weakness, not chest pain.

C) This choice is correct. Dyspnea on exertion refers to shortness of breath or difficulty breathing that occurs with physical activity or exertion. The client's symptoms of feeling fatigued and weak after mild activity suggest exertional dyspnea, which is common in congestive heart failure.

D) This choice is incorrect because peripheral cyanosis is bluish discoloration of the skin and mucous membranes due to reduced blood flow, which is not described by the client.

A. "CHF is primarily caused by infections and viral illnesses." B. "The leading causes of CHF are hypertension and coronary artery disease." C. "CHF is often a result of excessive physical exertion and overworking the heart." D. "The main cause of CHF is anemia and low red blood cell count."

Correct Answer is B

Explanation

A) This choice is incorrect because while infections and viral illnesses can contribute to heart failure in some cases, they are not the leading causes of CHF. Hypertension and coronary artery disease are more common risk factors.

B) This choice is correct. Hypertension (high blood pressure) and coronary artery disease (narrowing or blockage of the heart's blood vessels) are the leading causes of CHF. Both conditions place increased stress on the heart and can lead to heart muscle damage and failure.

C) This choice is incorrect because while excessive physical exertion and overworking the heart can contribute to heart failure, they are not the primary causes of CHF. Underlying conditions like hypertension and coronary artery disease are more significant risk factors.

D) This choice is incorrect because anemia and low red blood cell count can impact heart function, but they are not the main causes of CHF. Hypertension and coronary artery disease are more commonly associated with the development of CHF.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as:

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with congestive heart failure. The client asks, "What are the most common causes of CHF?" How should the nurse respond?

Correct Answer is B

Explanation

A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

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

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?

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 client with congestive heart failure is prescribed digoxin. The nurse should instruct the client to:

A client with suspected congestive heart failure undergoes a chest X-ray. The nurse should anticipate which finding that may be indicative of CHF?

A nurse is auscultating a client's heart sounds and hears a third heart sound (S3). Which finding is consistent with the presence of an S3 sound in a client with congestive heart failure?