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

Avoid abrupt discontinuation of the medication.

Take the medication with a high-fat meal.

Limit fluid intake to prevent fluid overload.

Take the medication in the evening to promote sleep.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Beta-blockers should not be abruptly discontinued, as sudden discontinuation can lead to rebound effects and worsen the client's condition. Gradual tapering of the medication is necessary under the guidance of the healthcare provider.

B) This choice is incorrect because taking a beta-blocker with a high-fat meal is not necessary. Beta-blockers can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.

C) This choice is incorrect because limiting fluid intake is not specific to the administration of beta-blockers. 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.

D) This choice is incorrect because the timing of beta-blocker administration varies depending on the specific beta-blocker prescribed and the client's individual response. Some beta-blockers may be taken in the morning, while others may be taken in the evening. The client should follow the prescribed schedule given by the healthcare provider.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

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.

A. Orthopnea B. Paroxysmal nocturnal dyspnea C. Peripheral edema D. Tachypnea

Correct Answer is B

Explanation

A) This choice is incorrect because orthopnea is a different symptom where the client experiences difficulty breathing while lying flat and finds relief by sitting upright or standing.

B) This choice is correct. Paroxysmal nocturnal dyspnea is characterized by sudden breathlessness that awakens the client from sleep, usually 1-2 hours after falling asleep. The client may feel the need to sit upright or dangle the legs to breathe comfortably.

C) This choice is incorrect because peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure but does not match the client's reported symptom.

D) This choice is incorrect because tachypnea is rapid breathing and is not specifically related to the client's nighttime symptom of sudden breathlessness.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client with congestive heart failure reports waking up at night with sudden breathlessness and feeling the need to sit upright to breathe comfortably. The nurse should document this symptom as:

Correct Answer is B

Explanation

A client with suspected congestive heart failure undergoes a chest X-ray. The nurse should anticipate which finding that may be indicative of CHF?

A client with congestive heart failure is prescribed furosemide, a loop diuretic. The nurse should monitor the client for which potential adverse effect of this medication?

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?

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?

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

A client with congestive heart failure is prescribed a beta-blocker. The nurse should closely monitor the client for which potential adverse effect of this medication?

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?