A client with cardiomyopathy receiving diuretic therapy has a ...

[karen]

A client with cardiomyopathy receiving diuretic therapy has a urine output of 300 mL in 8 hours. What should the nurse do to assist this client?
 
  A) Assist the client to ambulate.
  B) This is a normal urine output and the client does not need anything.
  C) Notify the healthcare provider, as the client could be dehydrated.
  D) Measure abdominal girth as a true assessment of the client's fluid status.

Question 2

The nurse is preparing teaching for a client with hypertrophic cardiomyopathy. Based on this diagnosis, which medication classification should the nurse prepare to include in the teaching?
 
  A) Digitalis
  B) Vasodilators
  C) Nitrates
  D) Beta blocker

[31809pancho]

Answer to Question 1

Answer: C

The nurse should notify the healthcare provider, because a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.

Answer to Question 2

Answer: D

Beta blockers are the drugs of choice to reduce anginal symptoms and syncopal episodes associated with hypertrophic cardiomyopathy. Vasodilators, digitalis, and nitrates are contraindicated for the client with hypertrophic cardiomyopathy.

[karen]

Gracias!

[Dominic]

TYSM