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

Take the medication with food to reduce stomach upset.

Avoid using erectile dysfunction medications while on nitrate therapy.

Avoid grapefruit juice while on nitrate therapy.

Increase the dose if chest pain is not relieved within 15 minutes.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because taking the nitrate medication with food is not necessary. Nitrate medications are usually taken sublingually or by mouth and are not associated with significant stomach upset.

B) This choice is correct. Nitrate medications, such as nitroglycerin, can cause a dangerous drop in blood pressure when used concurrently with erectile dysfunction medications, specifically phosphodiesterase type 5 inhibitors (PDE5 inhibitors) like sildenafil (Viagra) or tadalafil (Cialis). Clients should be warned against using these medications together to prevent hypotension and potential cardiovascular complications.

C) This choice is incorrect because grapefruit juice is not typically associated with nitrate medications. Grapefruit juice can interact with certain medications, but it is not a known interaction with nitrates.

D) This choice is incorrect because increasing the nitrate dose without healthcare provider guidance can be dangerous. Clients should be instructed to take nitrate medications as prescribed and seek immediate medical attention if chest pain is not relieved within a specific timeframe, as directed by their healthcare provider.

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Correct Answer is B

Explanation

A) This choice is incorrect because limiting fluid intake is not specific to the administration of spironolactone. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.

B) This choice is correct. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia (high potassium levels). The client should avoid foods high in potassium to help prevent potassium overload and potential adverse effects.

C) This choice is incorrect because the timing of spironolactone administration may vary depending on the client's individual response and the presence of other medications. The client should follow the prescribed schedule given by the healthcare provider.

D) This choice is incorrect because monitoring blood pressure daily and adjusting the dose accordingly is not specific to the administration of spironolactone. While blood pressure may need to be monitored regularly, dosage adjustments should only be made under the guidance of the healthcare provider.

Questions

A. Monitor blood pressure daily and adjust the dose accordingly. B. Avoid foods high in potassium while on this medication. C. Take the medication with a glass of grapefruit juice. D. Limit fluid intake to prevent fluid overload.

Correct Answer is A

Explanation

A) This choice is correct. ACE inhibitors are used to lower blood pressure and reduce the workload on the heart. The client should monitor their blood pressure regularly and report any significant changes to their healthcare provider. Adjustments to the medication dosage should only be made under the guidance of the healthcare provider.

B) This choice is incorrect because while ACE inhibitors can increase potassium levels, avoiding foods high in potassium is not necessary unless specifically directed by the healthcare provider. The client should follow a balanced diet and inform the healthcare provider of any changes in their dietary habits.

C) This choice is incorrect because ACE inhibitors should not be taken with grapefruit juice. Grapefruit juice can interfere with the metabolism of the medication, leading to increased levels and potential side effects.

D) This choice is incorrect because limiting fluid intake is not specific to the administration of ACE inhibitors. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with congestive heart failure is prescribed spironolactone, a potassium-sparing diuretic. The nurse should instruct the client to:

Correct Answer is B

Explanation

A nurse is providing education to a client with congestive heart failure who is prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse should instruct the client to:

Correct Answer is A

Explanation

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

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

A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?

A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as: