A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

Take the medication at bedtime.

Take aspirin if headaches develop.

Expect some swelling in the hands and feet.

Answer and Explanation

The Correct Answer is A

A. Furosemide is a loop diuretic that can cause potassium loss; therefore, it is essential for the child to eat potassium-rich foods to prevent hypokalemia.

B. Taking furosemide at bedtime is not advisable due to the increased risk of nocturia and sleep disturbances from frequent urination.

C. Aspirin is not recommended without medical guidance, especially for children, as it can increase the risk of Reye's syndrome.

D. Expecting swelling in the hands and feet contradicts the purpose of furosemide, which is to reduce fluid overload; parents should report any unexpected swelling to the healthcare provider.

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Correct Answer is C

Explanation

A. Monitoring lung function and oxygen saturation is important but not the primary purpose of chest physiotherapy.

B. Chest physiotherapy does not primarily focus on pain relief or reducing inflammation; instead, it targets mucus clearance.

C. Chest physiotherapy is primarily performed to enhance lung function by mobilizing and clearing thick mucus from the airways, which is critical in managing cystic fibrosis and preventing infections.

D. While medications can be administered via nebulization, chest physiotherapy itself is not used for direct medication delivery but rather for airway clearance.

A. A child whose parents answer questions for the child B. A child who has frequent visitors C. A child who uses the call light frequently D. A child who has a BMI indicating obesity

Correct Answer is A

Explanation

A. A child whose parents consistently answer questions on their behalf may indicate a lack of autonomy and could be a sign of potential abuse or neglect, as it may suggest the parents are controlling or overly involved.

B. A child who has frequent visitors does not inherently suggest abuse; in fact, it could indicate support and care from family or friends.

C. Frequent use of the call light could indicate a child's need for assistance or comfort but does not directly correlate with abuse.

D. A child with a BMI indicating obesity is not a definitive indicator of abuse; it may relate to dietary habits or lifestyle factors rather than abuse.

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A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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