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:

Monitor blood pressure daily and adjust the dose accordingly.

Avoid foods high in potassium while on this medication.

Take the medication with a glass of grapefruit juice.

Limit fluid intake to prevent fluid overload.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is D

Explanation

A) This choice is incorrect because consuming a diet high in sodium would exacerbate fluid retention in congestive heart failure. Clients with CHF should follow a low-sodium diet to reduce fluid overload and manage edema.

B) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.

C) This choice is incorrect because while potassium intake may need to be monitored, restricting potassium-rich foods is not a universal instruction for clients with CHF. It depends on the client's overall potassium levels and specific medication regimen.

D) This choice is correct. Following a low-sodium diet is essential for clients with congestive heart failure to reduce fluid retention and manage symptoms of fluid overload.

A. Restricting all physical activity to prevent strain on the heart. B. Weighing themselves once a week and reporting sudden weight gain. C. Consuming a high-sodium diet to increase fluid retention. D. Taking prescribed medications only when symptoms worsen.

Correct Answer is B

Explanation

A) This choice is incorrect because restricting all physical activity is not recommended for clients with congestive heart failure. Regular, moderate exercise can be beneficial for heart health when appropriately prescribed by the healthcare provider.

B) This choice is correct. Regularly weighing themselves, ideally daily, and reporting sudden weight gain to the healthcare provider is essential for clients with congestive heart failure. Sudden weight gain may indicate fluid retention, a worsening of heart failure, or medication non-compliance.

C) This choice is incorrect because a high-sodium diet can worsen fluid retention and exacerbate congestive heart failure symptoms. The client should follow a low-sodium diet to manage fluid balance.

D) This choice is incorrect because taking prescribed medications only when symptoms worsen is not appropriate for congestive heart failure management. The client should take prescribed medications as directed by the healthcare provider, even when feeling well, to prevent symptom exacerbation and improve heart function.

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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:

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with congestive heart failure regarding dietary management. Which instruction is essential for the nurse to include?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

Correct Answer is B

Explanation

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