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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) This choice is incorrect because a narrowed mediastinum is not a characteristic finding in congestive heart failure. The mediastinum is the central region of the chest, and its width is not specifically related to CHF.
B) This choice is incorrect because hyperinflated lungs are a characteristic finding in chronic obstructive pulmonary disease (COPD), not congestive heart failure.
C) This choice is correct. Cardiomegaly, an enlarged heart, is a common finding in congestive heart failure. The heart may appear enlarged on a chest X-ray due to fluid accumulation and strain on the heart muscle.
D) This choice is incorrect because a normal cardiac silhouette on a chest X-ray would not be indicative of congestive heart failure. The presence of cardiomegaly is more suggestive of heart failure.
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