A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

Hemoptysis

Dyspnea

Paroxysmal nocturnal dyspnea

Cardiac asthma

Answer and Explanation

The Correct Answer is D

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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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.

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 presents with a dry, persistent cough. The nurse should recognize this symptom as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's:

Correct Answer is C

Explanation

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:

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

A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

A nurse is providing education to a client with congestive heart failure regarding dietary management. Which instruction is essential for the nurse to include?

A nurse is caring for a client with congestive heart failure who is prescribed a loop diuretic. The nurse should monitor the client for which potential electrolyte imbalance associated with this medication?

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 is prescribed a nitrate medication. The nurse should instruct the client to:

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?