The nurse is administering Furosemide 40 mg PO to a client with peripheral edema. Which method should the nurse use to best evaluate the client's response to this medication?

Monitor serum sodium levels

Auscultate breath sounds

Perform daily weights

Take the blood pressure

Answer and Explanation

The Correct Answer is C

A. Monitor serum sodium levels: While serum sodium levels can provide some information about fluid balance, they are not the most direct indicator of the effectiveness of furosemide
in reducing peripheral edema.

B. Auscultate breath sounds: This is important for monitoring potential fluid overload or pulmonary complications, but it does not directly assess the reduction of peripheral edema, which is the primary concern with furosemide administration.

C. Perform daily weights: This method is the best way to evaluate the client's response to furosemide. Daily weights can provide a clear indication of fluid status and changes in peripheral edema, as a decrease in weight typically reflects effective diuresis.
D. Take the blood pressure: While monitoring blood pressure is important, especially in clients receiving diuretics, it does not specifically measure the effectiveness of the medication in addressing peripheral edema.

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Correct Answer is B

Explanation

A) Blood urea nitrogen (BUN) 20 mg/dL: While this BUN level is slightly elevated, it is not as concerning as the creatinine level. Elevated BUN can indicate dehydration or other issues but does not necessarily signal acute kidney injury.

B) Creatinine 2.6 mg/dL: This result is the most concerning because it indicates impaired kidney function. Normal creatinine levels are typically between 0.6 and 1.2 mg/dL. An elevated creatinine level suggests that the kidneys are not filtering waste effectively, which is a significant concern for a client with long-standing hypertension.

C) Hemoglobin 12.8 g/dL: This hemoglobin level is within the normal range for adults and does not present an immediate concern.

D) Potassium 3.8 mEq/L: This potassium level is also within the normal range (3.5 to 5.0 mEq/L) and does not raise any alarms in terms of electrolyte imbalances.

A. The chest pains caused by a spasm my heart." B. "I should not experience chest pain since I am on aspirin therapy." C. "I should hire someone to shovel snow in the winter D. "Each time I have chest pain my heart is damaged more."

Correct Answer is C

Explanation

A. "The chest pains caused by a spasm of my heart": This statement reflects a misunderstanding. Chronic stable angina is typically caused by myocardial ischemia due to atherosclerosis rather than spasms. While vasospasm can occur, it is not the primary cause of chronic stable angina.

B. "I should not experience chest pain since I am on aspirin therapy": This statement is misleading. Aspirin therapy helps reduce the risk of clot formation and subsequent heart attacks but does not eliminate angina. Patients may still experience angina symptoms during exertion or stress.

C. "I should hire someone to shovel snow in the winter": This statement indicates an understanding of the need to avoid excessive physical exertion that could trigger angina. Hiring someone to perform strenuous tasks like shoveling snow reflects a proactive approach to managing the condition and preventing potential angina episodes.

D. "Each time I have chest pain my heart is damaged more": This statement is overly alarmist. While recurrent angina can indicate underlying heart issues, occasional episodes of stable angina do not necessarily result in immediate, progressive heart damage.

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The nurse is administering Furosemide 40 mg PO to a client with peripheral edema. Which method should the nurse use to best evaluate the client's response to this medication?

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