A client with congestive heart failure is prescribed a daily dose of furosemide. The nurse should monitor the client for which potential adverse effect of this medication?
Bradycardia
Hyperglycemia
Hypotension
Dry, nonproductive cough
The Correct Answer is C
A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.
B) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.
C) This choice is correct. Hypotension (low blood pressure) is a potential adverse effect of furosemide due to its diuretic action. Furosemide causes the excretion of excess fluid, leading to a decrease in blood volume, which can result in hypotension.
D) This choice is incorrect because a dry, nonproductive cough is associated with ACE inhibitors, not furosemide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because wheezing on auscultation is a characteristic finding in respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD), not congestive heart failure.
B) This choice is incorrect because hyperactive bowel sounds are not specific to congestive heart failure and are more indicative of gastrointestinal activity.
C) This choice is incorrect because the absence of jugular vein distention is not directly related to fluid accumulation in the lungs. Jugular vein distention is associated with right-sided heart failure.
D) This choice is correct. Crackles, also known as rales, are abnormal lung sounds heard on auscultation and may indicate fluid accumulation in the lungs, a common symptom of congestive heart failure. The presence of crackles suggests pulmonary congestion due to fluid leaking into the alveoli.
Correct Answer is D
Explanation
A) This choice is incorrect because hemoptysis refers to coughing up blood from the respiratory tract, which is not described by the client.
B) This choice is incorrect because dyspnea refers to difficulty breathing or shortness of breath, not a dry, persistent cough.
C) This choice is incorrect because paroxysmal nocturnal dyspnea is characterized by sudden breathlessness that awakens the client from sleep, not a dry cough.
D) This choice is correct. Cardiac asthma is a form of wheezing or coughing that occurs as a result of fluid accumulation in the lungs due to congestive heart failure. It is not caused by asthma but is a manifestation of heart failure impacting the respiratory system.
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