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

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A) This choice is incorrect because while electrolyte imbalances can have cardiovascular implications, they are not directly associated with diabetes mellitus or congestive heart failure.

B) This choice is incorrect because left-sided heart failure is not directly related to uncontrolled diabetes mellitus. However, diabetes can exacerbate heart failure if not well-controlled due to its impact on blood vessels and the heart.

C) This choice is incorrect because decreased afterload is not directly related to uncontrolled diabetes mellitus. Afterload refers to the resistance the heart has to overcome to eject blood into the circulation.

D) This choice is correct. Uncontrolled diabetes mellitus can lead to microvascular damage, particularly in the small blood vessels of the heart. This damage can contribute to heart muscle dysfunction and congestive heart failure. Diabetes is a significant risk factor for developing heart failure.

Questions

A. "CHF is primarily caused by infections and viral illnesses." B. "The leading causes of CHF are hypertension and coronary artery disease." C. "CHF is often a result of excessive physical exertion and overworking the heart." D. "The main cause of CHF is anemia and low red blood cell count."

Correct Answer is B

Explanation

A) This choice is incorrect because while infections and viral illnesses can contribute to heart failure in some cases, they are not the leading causes of CHF. Hypertension and coronary artery disease are more common risk factors.

B) This choice is correct. Hypertension (high blood pressure) and coronary artery disease (narrowing or blockage of the heart's blood vessels) are the leading causes of CHF. Both conditions place increased stress on the heart and can lead to heart muscle damage and failure.

C) This choice is incorrect because while excessive physical exertion and overworking the heart can contribute to heart failure, they are not the primary causes of CHF. Underlying conditions like hypertension and coronary artery disease are more significant risk factors.

D) This choice is incorrect because anemia and low red blood cell count can impact heart function, but they are not the main causes of CHF. Hypertension and coronary artery disease are more commonly associated with the development of CHF.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's medical history and notes a diagnosis of uncontrolled diabetes mellitus. The nurse recognizes this as a significant risk factor for congestive heart failure due to its association with:

Correct Answer is D

Explanation

A nurse is providing education to a client diagnosed with congestive heart failure. The client asks, "What are the most common causes of CHF?" How should the nurse respond?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

A nurse is reviewing the diagnostic tests for a client suspected of having congestive heart failure. Which test is considered the gold standard for diagnosing CHF?

A nurse is caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to:

A client with congestive heart failure is prescribed digoxin. The nurse should instruct the client to:

A nurse is caring for a client with congestive heart failure who reports sudden weight gain, shortness of breath, and swelling in the ankles. What is the nurse's priority action?

A nurse is providing discharge teaching to a client with congestive heart failure. The client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which instruction is essential for the client to follow?

A nurse is providing education to a client with congestive heart failure about managing fluid intake. The nurse should instruct the client to:

A client with a history of hypertension and diabetes mellitus presents to the clinic with complaints of fatigue, difficulty breathing, and frequent urination at night. Which risk factor is most likely contributing to the client's symptoms?