A nurse is providing discharge teaching to a client with congestive heart failure. The client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which instruction is essential for the client to follow?

"Take the medication with a glass of grapefruit juice."

"Monitor your blood pressure daily and adjust the dose accordingly."

"Report any persistent cough or difficulty breathing to your healthcare provider."

"Avoid foods high in potassium while on this medication."

Answer and Explanation

The Correct Answer is C

A) 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.

B) This choice is incorrect because the client should not adjust the dose of the ACE inhibitor without consulting their healthcare provider. Blood pressure should be monitored, but any dosage adjustments should be made by the healthcare provider based on the client's response to the medication.

C) This choice is correct. ACE inhibitors can cause a side effect of a persistent dry cough, and in some cases, difficulty breathing. The client should promptly report these symptoms to their healthcare provider for evaluation and possible adjustment of the medication regimen.

D) 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.

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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.

Questions

A. Electrocardiogram (ECG) B. Chest X-ray C. Echocardiogram D. Brain natriuretic peptide (BNP) level

Correct Answer is C

Explanation

A) This choice is incorrect because an electrocardiogram (ECG) is a valuable diagnostic tool for assessing the heart's electrical activity and rhythm, but it is not the gold standard for diagnosing CHF. It can provide information about possible cardiac hypertrophy or rhythm disturbances associated with heart failure.

B) This choice is incorrect because a chest X-ray is helpful in evaluating heart size and the presence of pulmonary congestion, but it is not the gold standard for diagnosing CHF.

C) This choice is correct. An echocardiogram is the gold standard for diagnosing CHF. It uses ultrasound waves to assess the heart's structure and function, including ejection fraction and valve function, providing critical information to confirm the diagnosis of heart failure.

D) This choice is incorrect because a brain natriuretic peptide (BNP) level is a blood test that can aid in the diagnosis of CHF. Elevated BNP levels indicate heart strain, but it is not the gold standard for diagnosing CHF.

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A nurse is providing discharge teaching to a client with congestive heart failure. The client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which instruction is essential for the client to follow?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 the diagnostic tests for a client suspected of having congestive heart failure. Which test is considered the gold standard for diagnosing CHF?

Correct Answer is C

Explanation

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

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