The nurse is caring for a client with an exacerbation of congestive heart failure (CHF). The client has generalized edema, dyspnea, and jugular venous distention. The nurse should anticipate a prescription for which medication?
The nurse is caring for a client with an exacerbation of congestive heart failure (CHF). The client has generalized edema, dyspnea, and jugular venous distention. The nurse should anticipate a prescription for which medication?
A. Mannitol
[6%]
B. Furosemide
[87%]
C. Diltiazem
[4%]
D. Verapamil
[3%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Analysis
Explanation
Choice B is correct. The client's symptoms suggest fluid volume excess due to the client's congestive heart failure. A loop diuretic, such as furosemide, is highly effective in treating this exacerbation.
Choices A, C, and D are incorrect. Mannitol is a diuretic used for the reduction of increased intracranial pressure. This is because mannitol is an osmotic diuretic that does not cross the blood-brain barrier. A gradient is developed between plasma and brain cells, causing a shift from the extracellular space into the blood vessels. Calcium channel blockers (diltiazem and verapamil) are contraindicated for individuals with heart failure. Calcium channel blockers have a significant negative inotropic effect and would be detrimental to a heart failure diagnosis.
Related Videos
5 Key Topics
Heart Failure
18.13 Complications of Heart Disease
Diuretics
6.8 Renal System Drugs
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