A client has developed edema in her lower legs and feet prompting her physician to prescribe furosemide, a diuretic medication. After the client has begun this new medication, what should the nurse anticipate as a normal finding?

Transient incontinence and increased urine production

Increased urine concentration

Increased output of dilute urine

A risk of urinary tract infections

Answer and Explanation

The Correct Answer is C

A. Transient incontinence and increased urine production: While increased urine production is expected, transient incontinence is not a typical finding with furosemide unless the client has preexisting bladder control issues.

B. Increased urine concentration: Furosemide is a loop diuretic that promotes the excretion of sodium and water, leading to dilute urine rather than concentrated urine.

C. Increased output of dilute urine: Furosemide blocks sodium reabsorption in the loop of Henle, resulting in increased urine production that is dilute due to excessive water excretion.

D. A risk of urinary tract infections: Furosemide does not directly increase the risk of urinary tract infections (UTIs). UTIs are more common with urinary retention rather than increased urine flow.

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Correct Answer is A

Explanation

The prescribed dose is 25 mg, and the available tablet strength is 50 mg. To calculate the correct dose:

25 mg ÷ 50 mg= 0.5

Answer: 0.5 tablets

A. "Void every four hours even if you feel like you do not need to urinate." B. "You should perform Kegel exercises several times a day." C. "When possible, you should try to take a tub bath instead of a shower." D. “It is important to clean front to back during bathing and after using the restroom."

Correct Answer is D

Explanation

A. "Void every four hours even if you feel like you do not need to urinate." While frequent voiding is beneficial, forcing a rigid schedule is not necessary. The priority is voiding after intercourse and staying hydrated to flush bacteria.

B. "You should perform Kegel exercises several times a day." Kegel exercises strengthen the pelvic floor but do not prevent UTIs.

C. "When possible, you should try to take a tub bath instead of a shower." Soaking in a bath can introduce bacteria into the urethra, increasing UTI risk. Showers are recommended.

D. “It is important to clean front to back during bathing and after using the restroom.” Wiping front to back prevents the spread of bacteria from the perineal area to the urethra, a major cause of UTIs.

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A client has developed edema in her lower legs and feet prompting her physician to prescribe furosemide, a diuretic medication. After the client has begun this new medication, what should the nurse anticipate as a normal finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: Metoprolol Tartrate 25 mg PO each morning Available: Metoprolol Tartrate 50 mg tablets How many tablets will you administer per dose?

Correct Answer is A

Explanation

A nurse is providing education to a female patient who has been diagnosed with recurrent urinary tract infections. What statement should the nurse include in the education?

Correct Answer is D

Explanation

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