A patient in heart failure is receiving care at the hospital. The patient normally takes furosemide to help with fluid management, but most likely will need more medicine to control other symptoms. To avoid complications, the nurse should look out for which medication that is contraindicated in patients with heart failure?

 

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Correct

- Non-steroidal anti-inflammatory drugs (NSAIDs)

- Nitroprusside

- Alpha-blockers

- Angiotensin-converting enzyme inhibitors

Rationale

"Non-steroidal anti-inflammatory drugs (NSAIDs)" is correct. Heart failure may lead to complications that need to be managed in the ill patient and several types of medications must be avoided when caring for a patient with this condition. Non-steroidal anti-inflammatory drugs (NSAIDs) should be avoided because they may cause salt and water retention, which can exacerbate symptoms of heart failure.
"Nitroprusside", "Alpha-blockers" and "Angiotensin-converting enzyme inhibitors" are all incorrect because these are not drugs that exacerbate heart failure.

References:
Dumitru, I. (2018, May 07). Heart Failure: Practice Essentials, Background, Pathophysiology. Retrieved from https://emedicine.medscape.com/article/163062-overview#a2

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