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?

Age

Family history of heart disease

Smoking

Gender

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because age is a non-modifiable risk factor for congestive heart failure. While age increases the risk of heart disease, including CHF, it cannot be changed or modified.

B) This choice is incorrect because family history of heart disease is a non-modifiable risk factor. While individuals with a family history of heart disease may have an increased risk of developing CHF, it is not something that can be changed or modified.

C) This choice is correct. Smoking is a modifiable risk factor for congestive heart failure. Smoking damages blood vessels, increases blood pressure, and can lead to atherosclerosis, all of which contribute to heart failure.

D) This choice is incorrect because gender is a non-modifiable risk factor for congestive heart failure. While men may have a slightly higher risk of heart failure compared to women, gender is not something that can be changed or modified.

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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.

A. Bradycardia B. Hyperglycemia C. Hypotension D. Dry, nonproductive cough

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 daily dose of furosemide. The nurse should monitor the client for which potential adverse effect of this medication?

Correct Answer is C

Explanation

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