A nurse is providing education to a client with congestive heart failure who is prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse should instruct the client to:

Monitor blood pressure daily and adjust the dose accordingly.

Avoid foods high in potassium while on this medication.

Take the medication with a glass of grapefruit juice.

Limit fluid intake to prevent fluid overload.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. ACE inhibitors are used to lower blood pressure and reduce the workload on the heart. The client should monitor their blood pressure regularly and report any significant changes to their healthcare provider. Adjustments to the medication dosage should only be made under the guidance of the healthcare provider.

B) 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.

C) 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.

D) This choice is incorrect because limiting fluid intake is not specific to the administration of ACE inhibitors. 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.

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Correct Answer is B

Explanation

A) This choice is incorrect because a high-pitched, scratchy sound heard during inhalation is called a pleural friction rub and is associated with pleuritis or inflammation of the pleura, not congestive heart failure.

B) This choice is correct. An S3 heart sound is an extra heart sound heard immediately after S1 and S2, often described as a "ventricular gallop." It is associated with congestive heart failure and indicates increased fluid volume and strain on the ventricles.

C) This choice is incorrect because a prolonged, whooshing sound heard during systole is a heart murmur, which can be caused by various conditions, but it is not specific to the presence of an S3 sound.

D) This choice is incorrect because an irregular heart rhythm with varying intensity is characteristic of cardiac arrhythmias or irregular heartbeats and is not specific to the presence of an S3 sound.

A. Take the medication with a high-fat meal. B. Skip a dose if experiencing nausea or vomiting. C. Monitor blood pressure daily and adjust the dose accordingly. D. Avoid over-the-counter medications while on digoxin.

Correct Answer is C

Explanation

A) This choice is incorrect because taking digoxin with a high-fat meal is not necessary. Digoxin can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.

B) This choice is incorrect because skipping a dose of digoxin can lead to suboptimal medication levels and reduced effectiveness. If the client experiences nausea or vomiting, they should contact their healthcare provider for guidance.

C) This choice is correct. Digoxin is used to treat congestive heart failure and other cardiac conditions. It is crucial for clients to monitor their blood pressure regularly, especially if their healthcare provider has instructed them to adjust the medication dose based on their blood pressure readings.

D) This choice is incorrect because while avoiding certain over-the-counter medications is essential while on digoxin due to potential drug interactions, it is not the primary instruction for the client. The client should discuss any new medications, including over-the-counter drugs, with their healthcare provider to ensure they are safe to take with digoxin.

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A nurse is providing education to a client with congestive heart failure who is prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse should instruct the client to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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

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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 providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

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

A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's: