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A patient with a history of heart failure is prescribed torsemide. Which dietary modification should the nurse recommend?

A.

Include foods rich in potassium in the diet.

B.

Increase calcium-rich foods.

C.

Restrict fluid intake to 500 mL/day.

D.

Restrict foods rich in potassium in the diet.

Answer and Explanation

The Correct Answer is A

(A) Include foods rich in potassium in the diet: Torsemide is a loop diuretic, which increases potassium excretion and may cause hypokalemia, requiring potassium supplementation.

(B) Increase calcium-rich foods: Torsemide primarily affects potassium, not calcium.

(C) Restrict fluid intake to 500 mL/day: Fluid restrictions may be necessary in severe heart failure, but 500 mL/day is too restrictive unless specifically indicated.

(D) Restrict foods rich in potassium in the diet: Torsemide causes potassium loss, not retention, so restricting potassium would worsen hypokalemia.


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Related Questions

Correct Answer is C

Explanation

(A) Prevent constipation: Calcium channel blockers can cause constipation, but metoprolol does not prevent it.

(B) Minimize gingival hyperplasia: Gingival hyperplasia is a side effect of calcium channel blockers, but metoprolol does not counteract it.

(C) Prevent recurrent chest pain: Nifedipine can cause reflex tachycardia, which increases myocardial oxygen demand. Metoprolol (a beta-blocker) prevents this by slowing the heart rate and reducing myocardial workload, thereby preventing angina.

(D) Reduce flushing: Flushing is a side effect of nifedipine, but metoprolol is not used for this purpose.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"B"}}

Explanation

Hyperthyroidism:

  • Heat Intolerance: Increased metabolism leads to excessive heat production.
  • Exophthalmos: Protrusion of the eyes due to autoimmune effects in conditions like Graves’ disease.
  • Tremors: Overstimulation of the nervous system causes fine hand tremors.

Hypothyroidism:

  • Bradycardia: Reduced thyroid hormone slows metabolism and heart rate.
  • Weight Gain: Decreased metabolism leads to fat accumulation.
  • Dry Coarse Skin: Reduced metabolism causes decreased sweat and oil production, leading to dry skin.

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