A client with congestive heart failure is prescribed a beta-blocker. The nurse should closely monitor the client for which potential adverse effect of this medication?

Hypokalemia

Hypotension

Bradycardia

Hyperglycemia

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hypokalemia (low potassium levels) is more commonly associated with loop diuretics rather than beta-blockers.

B) This choice is incorrect because while hypotension (low blood pressure) can be a potential adverse effect of beta-blockers, it is not the primary adverse effect to be monitored for.

C) This choice is correct. Bradycardia (slow heart rate) is a common adverse effect of beta-blockers, which work by slowing the heart rate and reducing the force of the heart's contractions. The nurse should monitor the client's heart rate and report any significant changes or symptoms of bradycardia to the healthcare provider.

D) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of beta-blockers. In fact, beta-blockers can sometimes cause transient hypoglycemia.

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Correct Answer is D

Explanation

A) This choice is incorrect because a body mass index (BMI) of 22 kg/m² is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

B) This choice is incorrect because a blood pressure of 120/80 mmHg is within the normal range and does not indicate a direct precipitating factor for congestive heart failure in this case.

C) This choice is incorrect because a fasting blood glucose level of 90 mg/dL is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

D) This choice is correct. A serum cholesterol level of 240 mg/dL indicates high cholesterol, which is a risk factor for coronary artery disease. Coronary artery disease is a leading cause of congestive heart failure and may have contributed to the client's condition.

A. Clubbing B. Peripheral edema C. Pitting edema D. Ascites

Correct Answer is B

Explanation

A) This choice is incorrect because clubbing refers to the enlargement of the fingertips and nails due to chronic hypoxia, which is not related to the client's reported symptoms.

B) This choice is correct. Peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure. The client's symptoms of swollen ankles, legs, and abdomen indicate peripheral edema.

C) This choice is incorrect because pitting edema is a specific type of edema where pressure on the skin leaves an indentation or "pit." While the client's edema may indeed be pitting, the question does not provide enough information to confirm this.

D) This choice is incorrect because ascites is the accumulation of fluid in the abdominal cavity and is not specific to the client's reported symptoms of swollen ankles and legs.

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A client with congestive heart failure is prescribed a beta-blocker. The nurse should closely monitor the client for which potential adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

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