A nurse is performing discharge teaching with her patient and going over the information about her Furosemide (Lasix) (loop diuretic). One important teaching point for the nurse to remember is:

Be sure to take your potassium supplements

Report any excessive urinating to your physician

Take your Lasix at night before bed

Report any skin changes to your physician

Answer and Explanation

The Correct Answer is A

A. Be sure to take your potassium supplements: Furosemide is a loop diuretic that increases the excretion of sodium and water along with potassium. Hypokalemia is a common side effect, so potassium supplementation or increased dietary intake may be necessary to prevent complications such as muscle cramps or cardiac arrhythmias.

B. Report any excessive urinating to your physician: Increased urination is an expected therapeutic effect of Furosemide. It is only concerning if it leads to dehydration, dizziness, or signs of electrolyte imbalance.

C. Take your Lasix at night before bed: Taking Furosemide at night is not recommended due to its diuretic effect, which may cause nocturia and disrupt sleep. It is best taken in the morning or early afternoon.

D. Report any skin changes to your physician: Skin changes are not a common or critical concern specifically associated with Furosemide. Monitoring for electrolyte imbalances and dehydration is more important in routine patient education.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Increased balance: Aging typically results in decreased balance due to changes in the musculoskeletal and nervous systems. Older adults often experience a decline in coordination and proprioception, which can increase the risk of falls.

B. Increased muscle mass: Muscle mass generally decreases with age, a condition known as sarcopenia. This loss contributes to reduced strength and endurance, making physical activity and mobility more difficult for older adults.

C. Increased joint stiffness: Joint stiffness is a common age-related change caused by decreased synovial fluid, cartilage wear, and reduced flexibility. This can limit mobility and make daily activities more challenging for elderly clients.

D. Increased calcification of bones: With aging, bones tend to lose density and become more porous, leading to conditions like osteoporosis. Calcification may occur in soft tissues, but bone itself typically becomes weaker, not more calcified.

A. Isolating herself from the patient B. Washing her hands C. Asking for a new assignment D. Wearing a mask

Correct Answer is B

Explanation

A. Isolating herself from the patient: Isolation of the nurse is unnecessary and not an effective way to prevent the spread of infection. Nurses are trained to provide care while using proper infection control practices, such as hand hygiene and protective equipment.

B. Washing her hands: Hand hygiene is the most effective method to prevent the spread of infections. Proper hand washing before and after patient contact reduces the risk of transmitting pathogens, including those associated with the flu and other infections.

C. Asking for a new assignment: Requesting a new assignment does not address the prevention of infection spread. Nurses are trained to follow safety protocols, including using personal protective equipment (PPE) and practicing good hygiene to protect both patients and themselves.

D. Wearing a mask: While wearing a mask can help prevent the transmission of respiratory droplets, it is not sufficient on its own. Hand hygiene remains the most important and effective strategy for preventing the spread of infections.

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A nurse is performing discharge teaching with her patient and going over the information about her Furosemide (Lasix) (loop diuretic). One important teaching point for the nurse to remember is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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