The nurse is examining a client with congestive heart failure (CHF)who is prescribed propranolol and furosemide.The client complains of fatigue and an inability to finish tasks.Which conclusion by the nurse is the most appropriate?
A) The medication needs adjustment.
B) The client has not been exercising.
C) The client is experiencing normal findings for the disease process.
D) The client should be hospitalized.

Question

Quizplus · Accepted Answer

A) CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.
B) CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.
C) CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.
D) CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.

The Nurse Is Examining a Client with Congestive Heart Failure