Question

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following orders?

a. Carvedilol
b. Fluticasone
c. Captopril
d. Isosorbide dinitrate

Answer 1

The nurse should seek clarification on the order for fluticasone as it is a corticosteroid medication used to treat asthma and may not be appropriate to prescribe alongside the other medications for heart failure.

Step-by-step explanation:

The nurse should seek clarification on the order for fluticasone as it is a corticosteroid medication used to treat asthma. Given the client's history of asthma, it may not be appropriate to prescribe fluticasone alongside the other medications for heart failure. Corticosteroids can exacerbate heart failure symptoms.

On the other hand, the medications listed - carvedilol, captopril, and isosorbide dinitrate, are commonly used for heart failure management and do not pose contraindications for a client with a history of asthma.

Clinical judgment may be required to determine the appropriateness of these medications for a specific individual and their particular symptoms and medical history.