The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

"I should limit my fluid intake while taking this medication."

"My blood pressure will increase while I am taking this medication."

"I should take this medication in the morning rather than at night."

"I should eat a diet low in potassium while taking this medication."

Answer and Explanation

The Correct Answer is C

A) "I should limit my fluid intake while taking this medication":
This statement is incorrect. Furosemide is a loop diuretic that increases urine production to reduce fluid overload in conditions like heart failure or edema. It is essential for clients taking furosemide to maintain adequate hydration to prevent dehydration. Therefore, the client should not limit their fluid intake while taking this medication.

B) "My blood pressure will increase while I am taking this medication":
This statement is incorrect. Furosemide is primarily used to reduce blood pressure by promoting diuresis and reducing fluid volume. Therefore, it is unlikely that blood pressure would increase while taking this medication.

C) "I should take this medication in the morning rather than at night":
This is the correct answer. Furosemide is usually taken in the morning to prevent nocturia (excessive urination at night), as it can increase urinary frequency. Taking it earlier in the day allows for better fluid balance during waking hours and reduces the need to wake up frequently during the night to urinate.

D) "I should eat a diet low in potassium while taking this medication":
This statement is incorrect. Furosemide can cause potassium depletion as a side effect, so clients may be advised to consume potassium-rich foods or supplements unless contraindicated due to other medical conditions. However, it is not necessary to eat a diet low in potassium while taking furosemide unless specifically instructed by a healthcare provider.

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Correct Answer is B

Explanation

B) Tachycardia:
Anticholinergic drugs, by blocking the action of acetylcholine at muscarinic receptors, can lead to increased sympathetic activity, resulting in tachycardia. Acetylcholine normally acts to moderate heart rate via vagal stimulation, so blocking its effects with anticholinergic medications can lead to an unopposed sympathetic response, causing an increase in heart rate.

A) Urinary Frequency:
Anticholinergic drugs typically cause urinary retention rather than urinary frequency. By blocking muscarinic receptors in the bladder, these medications can lead to decreased bladder contractility and urinary retention. Urinary frequency is not a common adverse effect of anticholinergic drugs.

C) Tachypnea:
Tachypnea, or rapid breathing, is not a typical adverse effect of anticholinergic medications. While anticholinergic drugs can affect respiratory secretions and cause drying of mucous membranes, leading to potential respiratory issues, tachypnea specifically is not commonly associated with their use.

D) Hypotension:
Anticholinergic drugs are more likely to cause hypertension rather than hypotension. By blocking the parasympathetic nervous system, these medications can lead to sympathetic dominance, resulting in increased blood pressure. Hypotension is not a typical adverse effect of anticholinergic drugs.

A. Glaucoma B. Depression C. Asthma D. Migraines

Correct Answer is C

Explanation

A) Glaucoma:
While propranolol can exacerbate symptoms of glaucoma, it is not an absolute contraindication. However, caution is warranted in clients with glaucoma due to its potential to increase intraocular pressure.

B) Depression:
Propranolol is not contraindicated in clients with a history of depression. In fact, it is sometimes used to manage anxiety symptoms associated with certain types of depression.

C) Asthma:
Propranolol is contraindicated in clients with a history of asthma or bronchospasm because it can exacerbate bronchoconstriction and potentially precipitate an acute asthma attack.

D) Migraines:
Propranolol is often used prophylactically in clients with migraines to reduce the frequency and severity of attacks. It is not contraindicated in clients with a history of migraines."

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The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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