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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. Hypertension (high blood pressure) is a significant risk factor for congestive heart failure (CHF). Prolonged hypertension can lead to the heart's increased workload, causing it to weaken over time and eventually leading to CHF. The client's symptoms of fatigue, difficulty breathing, and nocturia (frequent urination at night) are common manifestations of CHF resulting from uncontrolled hypertension.
B) This choice is incorrect because diabetes mellitus, while a risk factor for cardiovascular disease, is not directly associated with the symptoms described by the client. However, diabetes can exacerbate CHF if the client's blood glucose levels are not well-controlled.
C) This choice is incorrect because smoking history is a risk factor for various cardiovascular diseases, but it is not specifically linked to the symptoms reported by the client in this case.
D) This choice is incorrect because a family history of heart disease may increase the client's risk of developing CHF, but it does not directly contribute to the current symptoms the client is experiencing.
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.
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