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More questions ( 19 Questions)
The nurse is reviewing the discharge instructions with a patient who has heart failure and is prescribed losartan (Cozaar). Which of the following statements by the patient indicates understanding of the teaching? (Select all that apply.)
This helps to monitor fluid status and detect signs of worsening heart failure. Weight gain of more than 2 kg (4.4 lb) in a week or 1 kg (2.2 lb) in a day should be reported to the health care provider.
Losartan does not need to be taken with food to prevent stomach upset. It can be taken with or without food.
Call their doctor if they have a sore throat or fever. This could indicate an infection or a rare but serious side effect of losartan called angioedema, which causes swelling of the face, lips, tongue, or throat.
Losartan does not increase the sensitivity to sunlight. However, some other medications for heart failure, such as diuretics, may do so.
Drinking plenty of fluids to stay hydrated is not recommended for patients with heart failure, as it may worsen fluid retention and overload the heart. Patients should follow their prescribed fluid restriction and limit their sodium intake.
Losartan (Cozaar) is an angiotensin II receptor blocker (ARB) that is used to treat heart failure by lowering blood pressure and reducing fluid retention.
Patients taking losartan should:
• Weigh themselves every morning and report any changes.
This helps to monitor fluid status and detect signs of worsening heart failure. Weight gain of more than 2 kg (4.4 lb) in a week or 1 kg (2.2 lb) in a day should be reported to the health care provider.
• Call their doctor if they have a sore throat or fever. This could indicate an infection or a rare but serious side effect of losartan called angioedema, which causes swelling of the face, lips, tongue, or throat.
The other choices are wrong because:
• Losartan does not need to be taken with food to prevent stomach upset. It can be taken with or without food.
• Losartan does not increase the sensitivity to sunlight. However, some other medications for heart failure, such as diuretics, may do so.
• Drinking plenty of fluids to stay hydrated is not recommended for patients with heart failure, as it may worsen fluid retention and overload the heart. Patients should follow their prescribed fluid restriction and limit their sodium intake.