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 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.

A. Liver function. B. Serum sodium levels. C. Urine output. D. Blood glucose levels.

Correct Answer is C

Explanation

A) This choice is incorrect because while digoxin can impact liver function, it is not the primary parameter to be monitored. Liver function tests may be performed periodically to assess liver health during digoxin therapy.

B) This choice is incorrect because serum sodium levels are not directly impacted by digoxin. However, electrolyte imbalances, including hypokalemia, can potentiate digoxin toxicity, so potassium levels should be monitored.

C) This choice is correct. Digoxin is a cardiac glycoside that can impact renal function. Monitoring urine output is essential to assess kidney function and the client's response to the medication.

D) This choice is incorrect because blood glucose levels are not specifically impacted by digoxin. However, hypokalemia resulting from digoxin therapy can cause alterations in glucose metabolism, so blood glucose levels should be monitored in clients taking digoxin.

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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?

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Naxlex Comprehensive Predictor Exams

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 digoxin. The nurse should monitor the client's:

Correct Answer is C

Explanation

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