A nurse is caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?
Body mass index (BMI) of 22 kg/m²
Blood pressure of 120/80 mmHg
Fasting blood glucose level of 90 mg/dL
Serum cholesterol level of 240 mg/dL
The Correct Answer is D
A) This choice is incorrect because a body mass index (BMI) of 22 kg/m² is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.
B) This choice is incorrect because a blood pressure of 120/80 mmHg is within the normal range and does not indicate a direct precipitating factor for congestive heart failure in this case.
C) This choice is incorrect because a fasting blood glucose level of 90 mg/dL is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.
D) This choice is correct. A serum cholesterol level of 240 mg/dL indicates high cholesterol, which is a risk factor for coronary artery disease. Coronary artery disease is a leading cause of congestive heart failure and may have contributed to the client's condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is C
Explanation
A) This choice is incorrect because hypertension is not a common side effect of digoxin. Digoxin is used to treat heart failure and can help control blood pressure in some cases.
B) This choice is incorrect because hyperkalemia (elevated potassium levels) is not a common side effect of digoxin. In fact, digoxin can sometimes cause hypokalemia (low potassium levels) as a side effect.
C) This choice is correct. Bradycardia (slow heart rate) is a common side effect of digoxin. Digoxin works by increasing the force of the heart's contractions and can slow down the heart rate. Clients taking digoxin should have their heart rate monitored regularly, and the healthcare provider should be notified if the heart rate is below the prescribed parameters.
D) This choice is incorrect because respiratory alkalosis is not a common side effect of digoxin. Digoxin does not directly affect the respiratory system.
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