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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because sudden weight gain, shortness of breath, and ankle swelling are not normal with CHF and may indicate worsening of the condition. The nurse should not reassure the client but rather take appropriate action to address the symptoms.
B) This choice is incorrect because the client's symptoms suggest fluid retention, and increasing fluid intake would exacerbate the condition. The nurse should not encourage the client to increase fluid intake without consulting the healthcare provider.
C) This choice is correct. The client's sudden weight gain, shortness of breath, and ankle swelling are signs of worsening congestive heart failure. The nurse's priority action is to notify the healthcare provider immediately to address the client's worsening condition and adjust the treatment plan as needed.
D) This choice is incorrect because administering a diuretic is not within the nurse's scope of practice without a healthcare provider's order. The nurse should first notify the healthcare provider to evaluate the client's condition and determine the appropriate intervention.
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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