A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of
the following findings is an indication that the furosemide has been effective?
The client's potassium level is increased.
The client reports relief of dyspnea.
The client's weight is stable from the previous day.
The client reports decreased hunger.
The Correct Answer is B
Choice A reason: Furosemide is a loop diuretic that can lower potassium levels, so an increase in potassium is not an
expected outcome.
Choice B reason: Relief of dyspnea is a primary goal of furosemide administration in heart failure, as it reduces fluid overload and pulmonary congestion.
Choice C reason: A stable weight might indicate that fluid retention has not worsened, but it does not necessarily reflect the effectiveness of furosemide in reducing fluid overload.
Choice D reason: Decreased hunger is not a direct indicator of furosemide effectiveness and could be related to other factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Reassurance can seem dismissive of the partner's feelings and may not be helpful during acute grief.
Choice B reason: Expressing sympathy acknowledges the partner's feelings and provides emotional support during a difficult time.
Choice C reason: Asking if they need anything is practical but does not address the immediate emotional need expressed by the partner.
Choice D reason: Physical comfort like a hug can be supportive, but it is important to first gauge the partner's comfort level with physical contact.
Correct Answer is D
Explanation
Choice A reason: Aerobic exercise should not be avoided in osteoarthritis; in fact, it is recommended as it can help improve pain and function in knee and hip osteoarthritis.
Choice B reason: There is no evidence to support the use of ginkgo supplements for osteoarthritis, and they are not recommended as part of the management for this condition.
Choice C reason: Using lowered toilet seats can be beneficial for individuals with osteoarthritis, especially those with knee or hip involvement, as it can reduce the strain on the joints when sitting down and standing up.
Choice D reason: Applying warmth to joints before physical activity can help reduce stiffness and pain, making it easier to perform exercises and daily activities. It is a recommended practice for managing symptoms of osteoarthritis.
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