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A patient with class-IV CHF has a medication regimen consisting of
metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In
addition to regularly assessing the patient's heart rate, the nurse should
prioritize assessment of the patient's
intake and output.
blood pressure.
cognition.
exercise tolerance.
blood pressure.
Explanation:
Fluid balance, cognition, and exercise tolerance are all affected by CHF
and should be regularly assessed as part of thorough nursing care.
However, the combination of an ACE inhibitor, a beta blocker, and a
diuretic constitutes a significant risk for hypotension and indicates a
need for frequent blood pressure monitoring.
,Which is an adverse reaction associated with cardiotonic medications?
Visual disturbances
Diarrhea
Constipation
Restlessness
Visual disturbances
Explanation:
Adverse reactions associated with the cardiotonic medications include
headache, weakness, drowsiness, visual disturbances, nausea, anorexia,
and arrhythmias.
,After receiving a loading dose of milrinone (Primacor), what is a client
most likely to experience? (Select all that apply.)
Hypertension
Angina
Hyperkalemia
Headache
Insomnia
Angina
Headache
Explanation:
The adverse reactions most likely to occur after the administration of
milrinone (Primacor) to a client are ventricular arrhythmias, hypotension,
angina, chest pain, and hypokalemia.
, The nurse recognizes that which finding is associated with right-sided
heart failure?
Dyspnea
Nocturia
Orthopnea
Crackles in the lungs
Nocturia
Explanation:
Nocturia is a symptom of right-sided heart failure. Crackles in the lungs,
dyspnea, and orthopnea are symptoms related to left-sided heart failure
because they are pulmonary symptoms.