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 C

Explanation

A) This choice is incorrect because hypertension is not a common side effect of digoxin. Digoxin is used to treat heart failure and can help control blood pressure in some cases.

B) This choice is incorrect because hyperkalemia (elevated potassium levels) is not a common side effect of digoxin. In fact, digoxin can sometimes cause hypokalemia (low potassium levels) as a side effect.

C) This choice is correct. Bradycardia (slow heart rate) is a common side effect of digoxin. Digoxin works by increasing the force of the heart's contractions and can slow down the heart rate. Clients taking digoxin should have their heart rate monitored regularly, and the healthcare provider should be notified if the heart rate is below the prescribed parameters.

D) This choice is incorrect because respiratory alkalosis is not a common side effect of digoxin. Digoxin does not directly affect the respiratory system.

Questions

A. Take the medication with food to reduce stomach upset. B. Avoid using erectile dysfunction medications while on nitrate therapy. C. Avoid grapefruit juice while on nitrate therapy. D. Increase the dose if chest pain is not relieved within 15 minutes.

Correct Answer is B

Explanation

A) This choice is incorrect because taking the nitrate medication with food is not necessary. Nitrate medications are usually taken sublingually or by mouth and are not associated with significant stomach upset.

B) This choice is correct. Nitrate medications, such as nitroglycerin, can cause a dangerous drop in blood pressure when used concurrently with erectile dysfunction medications, specifically phosphodiesterase type 5 inhibitors (PDE5 inhibitors) like sildenafil (Viagra) or tadalafil (Cialis). Clients should be warned against using these medications together to prevent hypotension and potential cardiovascular complications.

C) This choice is incorrect because grapefruit juice is not typically associated with nitrate medications. Grapefruit juice can interact with certain medications, but it is not a known interaction with nitrates.

D) This choice is incorrect because increasing the nitrate dose without healthcare provider guidance can be dangerous. Clients should be instructed to take nitrate medications as prescribed and seek immediate medical attention if chest pain is not relieved within a specific timeframe, as directed by their healthcare provider.

Questions

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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 client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

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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?

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

A client with congestive heart failure is prescribed a loop diuretic. The nurse should closely monitor the client for which electrolyte imbalance associated with this medication?