A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema.

Which of the following assessment findings indicates to the nurse that the medication is effective?

Adventitious breath sounds.

Elevation in blood pressure.

Weight loss of.8 kg (4 Ib) in the past 24 hr.

Respiratory rate of 24/min.

Answer and Explanation

The Correct Answer is C

“Weight loss of.8 kg (4 Ib) in the past 24 hr.” Furosemide is a diuretic that decreases the pressure caused by excess fluid in the heart and lungs.
A weight loss of.8 kg (4 Ib) in the past 24 hr indicates that excess fluid is being removed from the body, which is a sign that the medication is effective.
Choice A is incorrect because adventitious breath sounds are a symptom of pulmonary edema, not an indication that the medication is effective.
Choice B is incorrect because furosemide has direct vasodilatory outcomes 2, which would decrease blood pressure, not elevate it.
Choice D is incorrect because there is no information found to support this statement.

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Correct Answer is C

Explanation

“I’m too tired to brush my teeth.” This statement indicates that the client is experiencing fatigue, which is a common symptom of heart failure.
Fatigue can significantly impact a person’s ability to perform daily activities and can be an indication that the client needs a referral for cardiac rehabilitation 1.
Choice A is not the correct answer because weighing oneself daily is a recommended self-monitoring technique for clients with heart failure.
Choice B is not the correct answer because while feeling unhappy can be a symptom of heart failure, it does not necessarily indicate a need for cardiac rehabilitation.
Choice D is not the correct answer because eating a low-sodium diet is a recommended dietary change for clients with heart failure.

A. "What is meant by the saying, 'Don't beat around the bush?". B. "Can you tell me the state where you were born?". C. "Can you count backward from 100 in intervals of 7?". D. "What do you understand about your condition?".

Correct Answer is A

Explanation

Asking the client “What is meant by the saying, ‘Don’t beat around the bush?’” is a way to assess the client’s abstract thinking.
Abstract thinking involves understanding concepts and ideas that are not concrete or tangible, such as interpreting figurative language or proverbs.
Choice B is incorrect because it assesses the client’s memory rather than their abstract thinking.
Choice C is incorrect because it assesses the client’s attention and concentration rather than their abstract thinking.
Choice D is incorrect because it assesses the client’s insight and understanding of their condition rather than their abstract thinking.

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A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?

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A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema.

Which of the following assessment findings indicates to the nurse that the medication is effective?