A postoperative home care client has developed thrombophlebitis in her right leg.
What category of medications will probably be prescribed for this cardiovascular complication?

Choice A rationale:
Tertiary health promotion and illness prevention focus on managing existing health conditions and preventing complications. Administering a nebulized bronchodilator to a client who is short of breath directly addresses an existing respiratory problem, aiming to relieve symptoms and prevent further respiratory distress. This intervention falls under tertiary prevention because it targets a client already experiencing respiratory symptoms.
Key points:
Bronchodilators open constricted airways, easing airflow and breathing.
Nebulizers deliver medication directly to the lungs, providing rapid relief.
Shortness of breath is a common symptom of respiratory conditions like asthma and COPD.
Prompt treatment of respiratory symptoms can prevent worsening of the condition and potential complications.
Choice B rationale:
Teaching a client about the risks of light cigarettes is an example of primary prevention. It aims to prevent lung disease before it develops by educating individuals about the harms of smoking.
Choice C rationale:
Advocating for more explicit warning labels on cigarette packages is a form of secondary prevention. It targets at-risk populations (smokers) to encourage behavior change and reduce smoking rates, ultimately lowering the incidence of lung disease.
Choice D rationale:
Assisting with lung function testing is a diagnostic procedure, not a tertiary prevention intervention. It helps to identify respiratory problems but doesn't directly manage or prevent them.

Choice A rationale:
While urinary tract infections (UTIs) are a potential risk with furosemide use, they are not the most immediate or anticipated effect following initiation of the medication.
UTIs can occur due to changes in urinary flow and potential catheter use.
However, furosemide's primary action is to increase urine output, which would not directly lead to a higher risk of UTIs at the onset of treatment.
Choice B rationale:
Concentrated dark urine is typically associated with dehydration or conditions that cause the kidneys to conserve water, such as kidney disease or severe fluid loss.
Furosemide, on the other hand, is a diuretic that promotes water loss through the urine, leading to more dilute urine.
Choice C rationale:
Transient incontinence can occur with furosemide due to the rapid increase in urine production, but it is not the most predictable or anticipated effect.
Increased urine production is expected, but transient incontinence may or may not occur in all patients.
Choice D rationale:
This is the most accurate and anticipated response.
Furosemide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the loop of Henle in the kidneys.
This leads to a significant increase in urine output, often within a few hours of administration. The urine produced is typically dilute and light-colored, as it contains a higher concentration of water and electrolytes. This is the intended effect of furosemide, as it helps to reduce fluid overload and edema.