Questions: Based on the client presentation and diagnostic report, which classification of medication should the nurse anticipate administering?

The question asks which classification of medication should be anticipated for a client with congestive heart failure who is already being treated with furosemide 40 mg PO daily.

To determine the appropriate medication classification, we need to consider the standard treatment options for congestive heart failure (CHF). Furosemide is a loop diuretic commonly used to reduce fluid overload in CHF patients. However, CHF management often involves a combination of medications to address different aspects of the condition.

1. ACE Inhibitors or ARBs: These are often prescribed to reduce the workload on the heart and improve heart function by lowering blood pressure and reducing strain on the heart. They are a cornerstone in CHF management.

2. Beta-blockers: These help to slow the heart rate and reduce blood pressure, which can improve heart function and reduce symptoms in CHF patients.

3. Aldosterone Antagonists: These are used in some cases to help reduce fluid retention and improve heart function.

4. Digoxin: This may be used in certain cases to help improve heart contractility and control heart rate, especially if there are issues with atrial fibrillation.

Given that the client is already on furosemide, the nurse might anticipate the addition of an ACE inhibitor or an ARB, as these are commonly used in conjunction with diuretics to manage CHF. Beta-blockers might also be considered if not already prescribed.

In summary, the nurse should anticipate administering an ACE inhibitor or ARB as part of the comprehensive management of congestive heart failure, alongside the existing furosemide treatment.