Cardiac Medicine Certification (CMC) Practice Exam

In which of the following scenarios should a patient seek immediate medical attention while on a diuretic?

1. They experience mild headaches

2. They report a weight gain of 2-4 pounds in 1-2 days

3. They feel slightly dehydrated

4. They have an increase in energy levels

The correct answer is: They report a weight gain of 2-4 pounds in 1-2 days

A patient should seek immediate medical attention when they report a weight gain of 2-4 pounds in just 1-2 days while on a diuretic. This weight gain may indicate fluid retention, which can be a sign of worsening heart failure or kidney dysfunction. Diuretics are commonly prescribed to help the body eliminate excess fluid, and rapid weight gain can signify that the diuretic is not effectively managing the fluid balance. It’s crucial to monitor weight regularly when on diuretics, and significant increases should be evaluated by a healthcare professional to prevent complications related to fluid overload. In contrast, mild headaches, feeling slightly dehydrated, or experiencing an increase in energy levels are less urgent situations. While they might warrant attention or a follow-up with a healthcare provider, they do not signal an immediate risk to the patient’s health as weight gain does. Each patient’s situation is unique, but the outlined scenario specifically highlights a critical change that requires prompt assessment.