A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Expect some swelling in the hands and feet.
Take the medication at bedtime.
Eat foods that contain plenty of potassium.
Take aspirin if headaches develop.
The Correct Answer is C
A: Expecting some swelling in the hands and feet is incorrect. Furosemide is a diuretic used to reduce fluid buildup, so swelling should decrease, not increase.
B: Taking the medication at bedtime is not recommended because furosemide increases urine output, which can disrupt sleep. It is better to take it in the morning.
C: Eating foods that contain plenty of potassium is important because furosemide can cause potassium loss. Consuming potassium-rich foods helps maintain electrolyte balance and prevent hypokalemia.
D: Taking aspirin if headaches develop is not related to the use of furosemide. The nurse should address headache management separately and ensure the client understands the specific instructions for furosemide use.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Placing the head of the client’s bed in the flat position is not the appropriate first action. While it may help reduce strain on the abdominal area, it does not address the immediate issue of the exposed bowel.
B: Gently reinserting the bowel back into the client’s wound is not recommended. This action could cause further injury or introduce infection. The nurse should avoid manipulating the exposed bowel.
C: Positioning the client on his left side does not directly address the issue of the exposed bowel. While it may help with comfort, it does not provide the necessary protection for the exposed tissue.
D: Applying moistened sterile gauze to the site is the correct action. This helps protect the exposed bowel from contamination and keeps it moist, which is crucial to prevent tissue damage. The nurse should then notify the surgeon immediately for further instructions.
Correct Answer is B
Explanation
A: Neostigmine is used to treat myasthenia gravis and to reverse the effects of muscle relaxants after surgery. It is not an antidote for morphine overdose.
B: Naloxone is the correct medication to have available. It is an opioid antagonist used to reverse the effects of opioid overdose, including respiratory depression caused by morphine.
C: Protamine is used to reverse the effects of heparin, an anticoagulant. It is not related to opioid overdose treatment.
D: Flumazenil is used to reverse the effects of benzodiazepines. It is not effective for reversing opioid overdose.
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