A client with a congenital heart disease is prescribed enalapril. The nurse should instruct the client to avoid consuming which food while on this medication?

A) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.

B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.

C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.

D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.

Questions

A) The answer is A. Prophylactic antibiotics are often given before surgical procedures to prevent infection, especially in clients with congenital heart diseases who may be at a higher risk of endocarditis.

B) Incorrect. While it's essential for the client to take precautions after surgery to reduce the risk of infection, avoiding contact with others for two weeks is not necessary or practical. Instead, following proper wound care and taking prescribed medications as instructed are more relevant measures.

C) Incorrect. Discharging the client early from the hospital does not necessarily reduce the risk of infection. Postoperative care and wound management are crucial to prevent infection, regardless of the length of the hospital stay.

D) Incorrect. All surgical procedures carry some risk of infection. While healthcare providers take measures to minimize this risk, it is not accurate to claim there is no risk at all.