A patient who has been treated for heart failure is being prescribed furosemide (Lasix) 20 mg orally daily upon discharge from the hospital. Which of the following statements by the patient would indicate to the nurse the need for further teaching reinforcement for this medication? (Select all that apply.)
"I will take the Lasix in the morning."
"I will drink lots of fluids with the Lasix."
"I will count my radial pulse for one minute."
"I will take it with each meal."
"I will eat a banana daily."
Correct Answer : B,D
Choice A reason: Taking Lasix in the morning is appropriate to avoid nocturia and sleep disturbances.
Choice B reason: Patients should be cautious with fluid intake when taking Lasix to avoid fluid overload, especially in heart failure.
Choice C reason: Counting the radial pulse is not directly related to Lasix administration but is a good practice for monitoring heart rate.
Choice D reason: Lasix should not be taken with each meal; it is usually taken once daily unless otherwise prescribed.
Choice E reason: Eating a banana daily is recommended to replenish potassium that may be lost due to the diuretic effect of Lasix.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F"]
Explanation
Choice A reason: Administering a daily stool softener can help prevent straining during bowel movements, which can increase cardiac workload.
Choice B reason: Providing a bedside commode reduces the effort required to go to the bathroom, thus reducing cardiac workload.

Choice C reason: Advocating for rest periods with no visitors can help reduce emotional stress and physical exertion, which can increase cardiac workload.
Choice D reason: A regular diet is not specifically an intervention to reduce cardiac workload and may not be appropriate immediately following a myocardial infarction.
Choice E reason: Ambulating four times a day is not recommended immediately following a myocardial infarction as it can increase cardiac workload.
Choice F reason: Maintaining bedrest can help reduce the workload on the heart by minimizing physical activity.
Correct Answer is A
Explanation
Choice A reason: Difficulty concentrating is a common symptom of depression, particularly in individuals with a spinal cord injury, where the change in lifestyle and physical abilities can lead to cognitive overload and reduced focus.
Choice B reason: While paranoia can be associated with other mental health conditions, it is not a typical sign of depression. Depression is more commonly associated with symptoms like hopelessness and low self-esteem.
Choice C reason: Feelings of grandeur are not typically associated with depression. This symptom is more indicative of mania or other psychiatric conditions such as bipolar disorder.
Choice D reason: Flight of ideas is a symptom often seen in manic episodes and is characterized by rapidly changing or disjointed thoughts. It is not a common symptom of depression.
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