Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Pasta, cereal, and bread.

Cheese, milk, and yogurt.

Liver, beef, and chicken.

Bananas, oranges, and peaches.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Pasta, cereal, and bread are not particularly rich in potassium, which is important for clients taking furosemide. Furosemide is a loop diuretic that can cause the body to lose potassium, so it is essential to consume potassium-rich foods to maintain normal levels. These foods are more carbohydrate-based and do not provide the necessary potassium.

Choice B Reason:

Cheese, milk, and yogurt are good sources of calcium and protein but are not the best sources of potassium. While dairy products do contain some potassium, they are not as rich in potassium as fruits like bananas, oranges, and peaches. Additionally, clients with heart failure may need to monitor their intake of dairy products due to their sodium content.

Choice C Reason:

Liver, beef, and chicken are excellent sources of protein and iron but are not particularly high in potassium. While these foods are beneficial for overall nutrition, they do not address the specific need for increased potassium intake in clients taking furosemide.

Choice D Reason:

Bananas, oranges, and peaches are rich in potassium, which is crucial for clients taking furosemide. Furosemide can lead to hypokalemia (low potassium levels), and consuming potassium-rich foods helps to counteract this effect. Potassium is vital for maintaining normal heart function and muscle contractions. Including these fruits in the diet can help prevent the adverse effects of low potassium levels, such as muscle weakness, cramps, and arrhythmias.

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Correct Answer is D

Explanation

Choice A reason:

Decreased episodes of incontinence are not a relevant outcome of administering zolpidem. Zolpidem is a sedative-hypnotic medication primarily used to treat insomnia by enhancing the activity of GABA, an inhibitory neurotransmitter. It does not affect urinary function or bladder control. Incontinence may be caused by other factors such as aging, prostate problems, or urinary tract infections, but it is not influenced by zolpidem.

Choice B reason:

Improved ability to concentrate is not a pertinent outcome of administering zolpidem. This medication does not enhance cognitive function or attention span. In fact, zolpidem may impair memory and cause daytime drowsiness or confusion in some patients. Its primary function is to induce sleep, not to improve concentration.

Choice C reason:

Exhibiting fewer emotional outbursts is not a significant outcome of administering zolpidem. This medication does not affect mood or behavior. In some cases, zolpidem may cause paradoxical reactions such as agitation, aggression, or hallucinations, especially in older adults. Therefore, it is not used to manage emotional outbursts.

Choice D reason:

Sleeps soundly through the night is the desired outcome of administering zolpidem. This medication is specifically designed to treat sleep problems, particularly difficulty falling asleep or staying asleep. By enhancing the activity of GABA, zolpidem helps induce and maintain sleep, which is the primary goal when prescribing this medication to patients with insomnia.

A. Administer potassium to stabilize the heart rate. B. Begin cardioversion to stabilize heart rhythm. C. Check acid-base and electrolyte values. D. Give digoxin by another route to slow absorption.

Correct Answer is C

Explanation

Choice A reason: Administering potassium is not the primary action for treating digoxin toxicity. While hypokalemia can exacerbate digoxin toxicity, the initial step is to assess and stabilize the patient’s overall condition, including acid-base and electrolyte balance. Potassium administration may be considered if hypokalemia is present, but it is not the first-line treatment.

Choice B reason: Cardioversion is not typically used to treat digoxin toxicity. Digoxin toxicity can cause various arrhythmias, but the treatment focuses on stabilizing the patient and addressing the toxicity itself2. Cardioversion may be considered in life-threatening arrhythmias, but it is not the primary intervention.

Choice C reason: Checking acid-base and electrolyte values is crucial in managing digoxin toxicity. Digoxin toxicity can lead to electrolyte imbalances, particularly hyperkalemia, which can be life-threatening. Assessing and correcting these imbalances is essential for stabilizing the patient and preventing further complications.

Choice D reason: Giving digoxin by another route to slow absorption is not an appropriate action. The primary treatment for digoxin toxicity involves stopping the medication and administering digoxin-specific antibody fragments (Fab) if necessary. These antibodies bind to digoxin, neutralizing its effects and allowing for its excretion.

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Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer is D

Explanation

Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

Correct Answer is C

Explanation

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