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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.
Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.
Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.
Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.
Correct Answer is B
Explanation
Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.
Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.
Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.
Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.
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