A nurse is assessing a client who is taking furosemide to treat heart failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Decreased blood pressure
Weight loss
Increased heart rate
Distended neck veins
The Correct Answer is B
A. While furosemide may lower blood pressure, weight loss due to fluid reduction is a more direct indicator of its therapeutic effect.
B. Furosemide promotes diuresis, and weight loss is a sign of decreased fluid retention, indicating effectiveness in treating heart failure.
C. An increased heart rate is not a desired effect and may indicate volume depletion or stress.
D. Distended neck veins indicate fluid overload and would not suggest a therapeutic effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Output above 30 mL/hr is acceptable and not concerning.
B. A BP of 122/88 is within normal limits.
C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.
D. Normal pupillary findings do not indicate toxicity.
Correct Answer is D
Explanation
A. Sodium is not directly related to the effectiveness of epoetin alfa, which stimulates red blood cell production.
B. WBC count is not the primary marker for evaluating epoetin alfa therapy.
C. Glucose is not a key indicator of epoetin alfa effectiveness.
D. Hemoglobin is the key indicator because epoetin alfa is used to stimulate red blood cell production in clients with anemia due to chronic renal failure. The goal is to increase hemoglobin levels.
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