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    Hesi bsn 315 rn pharmacology 35504 proctored exam
    Select All That Apply

    An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving atenolol, furosemide, and enalapril daily. Which assessment(s) should the nurse include in evaluating the effectiveness of the medications? Select all that apply.

    Explanation & Rationale

    A. Heart sounds: Assessing heart sounds helps evaluate the effectiveness of atenolol and enalapril in managing heart failure and coronary artery disease by identifying abnormalities like murmurs or gallops that suggest worsening cardiac function. B. Blood pressure: Monitoring blood pressure is essential to determine the effectiveness of atenolol (a beta-blocker), furosemide (a diuretic), and enalapril (an ACE inhibitor) in controlling hypertension and reducing cardiac workload. C. Daily weight: Daily weight monitoring detects fluid retention or loss, which is crucial for clients with heart failure on diuretics like furosemide. Rapid weight changes can indicate worsening heart failure or dehydration. D. Range of motion: Range of motion assessment is not directly related to the effectiveness of the prescribed cardiac and antihypertensive medications and is less relevant in this context. E. Bowel sounds: Bowel sounds assessment does not provide information about the effectiveness of heart failure, CAD, or hypertension medications and is not a priority for this client’s medication evaluation.

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