A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Apply warm compresses to legs.

Monitor intake and output.

Raise the head of the bed.

Place on cardiac monitoring.

Answer and Explanation

The Correct Answer is D

A. Apply warm compresses to legs:
While leg cramps can be uncomfortable, addressing them with warm compresses does not address the potential underlying issues related to the client's symptoms, especially considering the possibility of more severe conditions.

B. Monitor intake and output:
Monitoring intake and output is important in managing fluid balance, especially with diuretics like furosemide. However, this action does not directly address the immediate concerns raised by symptoms like palpitations and a cough.

C. Raise the head of the bed:
Raising the head of the bed can be helpful if the client is experiencing shortness of breath or orthopnea. However, it does not address the need to evaluate cardiac function, which is crucial given the presence of palpitations and other symptoms.

D. Place on cardiac monitoring:
The client's symptoms—palpitations, cough, fatigue—could indicate significant electrolyte imbalances or cardiac issues, which are common with furosemide use. Cardiac monitoring is the most appropriate initial action to quickly identify and address any cardiac complications.

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Correct Answer is A

Explanation

A. Begin therapy 1 week before the next normal menstrual cycle:
Misoprostol is used to prevent NSAID-induced gastric ulcers and to induce labor or manage miscarriage. It is not specifically tied to the timing of the menstrual cycle. The client should start therapy according to the provider's instructions, which will not necessarily be related to the menstrual cycle.

B. Call the healthcare provider immediately if there is a chance of conception:
Misoprostol is contraindicated during pregnancy due to its potential to cause uterine contractions and possible abortion. This statement correctly highlights the need to inform the healthcare provider if there is a chance of conception, as the medication poses risks to pregnancy.

C. Use condoms and a backup method of birth control to prevent pregnancy:
This is an appropriate and necessary precaution when taking misoprostol due to its potential teratogenic effects and risks to pregnancy. Using effective contraception is important to prevent unintended pregnancy while on this medication.

D. Ensure a negative pregnancy test result 2 weeks before therapy:
This is a standard precaution to ensure that the client is not pregnant before starting misoprostol, which is crucial due to its potential effects on pregnancy. A negative pregnancy test is essential for safe use of the medication.

A. Do not take the medication more than once every 8 hours. B. Take the medication with food to prevent gastric upset. C. Avoid driving, since this medication causes drowsiness. D. Use sugarless candy or gum to help prevent a dry mouth.

Correct Answer is C

Explanation

A. Do not take the medication more than once every 8 hours:
Diphenhydramine is typically dosed every 4 to 6 hours, not just once every 8 hours. However, this instruction is less critical compared to addressing the safety concerns related to drowsiness.

B. Take the medication with food to prevent gastric upset:
Diphenhydramine is generally not known to cause significant gastric upset, so this instruction is less critical. The primary concern with diphenhydramine is its sedative effects rather than gastrointestinal issues.

C. Avoid driving, since this medication causes drowsiness:
Diphenhydramine is known to cause significant drowsiness and sedation. Advising the client to avoid driving is crucial to prevent accidents and ensure their safety, making this the most important instruction.

D. Use sugarless candy or gum to help prevent a dry mouth:
While diphenhydramine can cause dry mouth, using sugarless candy or gum is a helpful but secondary instruction. The primary concern with diphenhydramine is its sedative effect, which affects the client's ability to drive safely.

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A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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