A client hospitalized for heart failure exacerbation has been receiving 40 mg furosemide IV twice daily. What statement by the client would alert the nurse to a possible toxic effect of this medication?

Choice A reason: This statement is false. The nurse would not be alerted to a possible toxic effect of furosemide by this statement, as this statement indicates a local reaction to the IV site, not a systemic effect of the medication. Furosemide is a diuretic that increases the urine output and reduces the fluid volume in the body. It does not cause irritation, redness, or pain at the IV site. However, the nurse should still inspect the IV site and change it if needed.

Choice B reason: This statement is false. The nurse would not be alerted to a possible toxic effect of furosemide by this statement, as this statement indicates an expected effect of the medication, not a toxic effect. Furosemide is a diuretic that increases the urine output and reduces the fluid volume in the body. It is used to treat heart failure, which is a condition where the heart cannot pump enough blood to meet the body's needs. This causes fluid to accumulate in the lungs, the legs, or the abdomen. By increasing the urine output, furosemide helps to remove the excess fluid and relieve the symptoms of heart failure.

Choice C reason: This statement is true. The nurse would be alerted to a possible toxic effect of furosemide by this statement, as this statement indicates a sign of ototoxicity, which is a damage to the inner ear caused by the medication. Furosemide is a diuretic that increases the urine output and reduces the fluid volume in the body. However, it can also affect the electrolyte balance and the blood flow in the inner ear, which can impair the hearing and cause tinnitus, vertigo, or deafness. Ototoxicity is a serious and sometimes irreversible complication of furosemide therapy. The nurse should stop the medication and notify the prescriber immediately.

Choice D reason: This statement is false. The nurse would not be alerted to a possible toxic effect of furosemide by this statement, as this statement indicates a sign of constipation, which is a common and mild side effect of the medication. Furosemide is a diuretic that increases the urine output and reduces the fluid volume in the body. However, it can also cause dehydration and electrolyte imbalance, which can affect the bowel movements and cause constipation. Constipation is not a life-threatening condition, but it can cause discomfort and complications if not treated. The nurse should advise the client to drink plenty of fluids, eat high-fiber foods, and use laxatives or stool softeners as needed.