Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Pasta, cereal, and bread.

Cheese, milk, and yogurt.

Liver, beef, and chicken.

Bananas, oranges, and peaches.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Pasta, cereal, and bread are not particularly rich in potassium, which is important for clients taking furosemide. Furosemide is a loop diuretic that can cause the body to lose potassium, so it is essential to consume potassium-rich foods to maintain normal levels. These foods are more carbohydrate-based and do not provide the necessary potassium.

Choice B Reason:

Cheese, milk, and yogurt are good sources of calcium and protein but are not the best sources of potassium. While dairy products do contain some potassium, they are not as rich in potassium as fruits like bananas, oranges, and peaches. Additionally, clients with heart failure may need to monitor their intake of dairy products due to their sodium content.

Choice C Reason:

Liver, beef, and chicken are excellent sources of protein and iron but are not particularly high in potassium. While these foods are beneficial for overall nutrition, they do not address the specific need for increased potassium intake in clients taking furosemide.

Choice D Reason:

Bananas, oranges, and peaches are rich in potassium, which is crucial for clients taking furosemide. Furosemide can lead to hypokalemia (low potassium levels), and consuming potassium-rich foods helps to counteract this effect. Potassium is vital for maintaining normal heart function and muscle contractions. Including these fruits in the diet can help prevent the adverse effects of low potassium levels, such as muscle weakness, cramps, and arrhythmias.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Constipation is typically a symptom of hypothyroidism, not hyperthyroidism. If a client is taking too much levothyroxine, they are more likely to experience symptoms of hyperthyroidism, such as diarrhea, rather than constipation.

Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, indicating that the thyroid hormone levels are too low. If the client is taking too much levothyroxine, they would more likely experience heat intolerance due to increased metabolic activity.

Choice C reason: Restlessness is a symptom of hyperthyroidism, which can occur if a client is taking too much levothyroxine. Excess thyroid hormone can lead to increased nervous system activity, causing symptoms such as restlessness, anxiety, and tremors.

Choice D reason: Decreased appetite is more commonly associated with hypothyroidism. In contrast, hyperthyroidism, which can result from taking too much levothyroxine, often leads to an increased appetite.

A. Avoid hazardous activities until symptoms subside. B. Increase intake of fluids and high-protein foods. C. Stop taking the medication immediately. D. Obtain transportation to the emergency department.

Correct Answer is A

Explanation

Choice A reason: Baclofen is a muscle relaxant that can cause side effects such as dizziness and fatigue, especially when starting the medication or adjusting the dose1. These symptoms are usually temporary and may subside as the body adjusts to the medication. Advising the client to avoid hazardous activities, such as driving or operating heavy machinery, helps prevent accidents and ensures safety while the body adapts to the new medication.

Choice B reason: Increasing the intake of fluids and high-protein foods is generally good advice for overall health but is not specifically related to managing the side effects of baclofen. While staying hydrated and maintaining a balanced diet can support overall well-being, it does not directly address the dizziness and fatigue caused by baclofen.

Choice C reason: Stopping the medication immediately is not recommended without consulting a healthcare provider. Abruptly discontinuing baclofen can lead to withdrawal symptoms, including hallucinations and seizures4. It is important to follow a healthcare provider’s guidance when adjusting or stopping any medication.

Choice D reason: Obtaining transportation to the emergency department is not necessary unless the symptoms are severe or accompanied by other concerning signs, such as difficulty breathing or chest pain. Mild to moderate dizziness and fatigue are common side effects of baclofen and can typically be managed with caution and monitoring.

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Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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