The nurse is teaching a 68-year-old client with heart failure about taking Furosemide at home. Which statement by the client indicates a correct understanding of when to take this medication?
"I will take my Furosemide whenever I notice swelling in my legs."
"I should take my Furosemide in the morning to avoid waking up frequently at night to urinate."
"It doesn't matter what time I take my Furosemide as long as I take it with food."
"I will take my Furosemide at bedtime to prevent swelling overnight."
The Correct Answer is B
A. "I will take my Furosemide whenever I notice swelling in my legs.": Furosemide should be taken regularly as prescribed, not just in response to symptoms. Intermittent use can lead to inconsistent fluid management and worsening of heart failure.
B. "I should take my Furosemide in the morning to avoid waking up frequently at night to urinate.". Furosemide is a loop diuretic that increases urine output. Taking it in the morning helps avoid nocturia, improving sleep quality while maintaining its therapeutic effects.
C. "It doesn't matter what time I take my Furosemide as long as I take it with food.": While food may reduce gastric irritation, the timing of diuretics is important due to their impact on urination. Random timing can cause sleep disturbances or inadequate symptom control.
D. "I will take my Furosemide at bedtime to prevent swelling overnight.": Taking Furosemide at bedtime increases the risk of nocturia and disrupted sleep. It does not specifically target overnight swelling and is not recommended for nighttime dosing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "All antipsychotic drugs carry an equal risk of causing movement-related side effects.": First-generation antipsychotics like Haloperidol are more likely to cause extrapyramidal symptoms due to their potent dopamine D2 receptor blockade. Second-generation antipsychotics carry a lower risk, making this statement inconsistent with clinical evidence.
B. "These side effects happen because this drug blocks dopamine in certain parts of my brain.": Extrapyramidal symptoms are primarily due to dopamine blockade in the nigrostriatal pathway, which regulates motor control. Interference in this region leads to tremors, rigidity, and other movement disorders.
C. "Taking other drugs with my Haloperidol can increase the risk of extrapyramidal symptoms.": Concurrent use of medications that also affect dopamine pathways or have sedative effects can increase the likelihood of developing EPS. Drug interactions are a significant factor in overall risk.
D. "Tardive dyskinesia occurs with prolonged use of an antipsychotic drug.": Long-term use of dopamine-blocking agents, especially at high doses, can lead to tardive dyskinesia. This condition involves involuntary movements and may be irreversible, particularly in older adults.
Correct Answer is B
Explanation
A. Take the medication with milk: Milk contains calcium, which inhibits the absorption of iron by binding with it in the gastrointestinal tract. Taking ferrous sulfate with milk significantly reduces its effectiveness in treating iron-deficiency anemia.
B. Take the medication with orange juice to enhance absorption: Vitamin C (ascorbic acid) in orange juice enhances the absorption of non-heme iron like ferrous sulfate by maintaining it in a more soluble and absorbable form. This maximizes the therapeutic benefit.
C. Take the medication on an empty stomach to decrease gastrointestinal irritation: Iron is best absorbed on an empty stomach, but it often causes GI upset, including nausea and constipation. Patients are typically advised to take it with a small amount of food if intolerance occurs not specifically to reduce GI irritation from the start.
D. Rinse the mouth before taking the iron: Rinsing the mouth beforehand has no clinical benefit. However, patients should be advised to rinse their mouth after taking liquid iron to prevent staining of the teeth, a known side effect of the liquid formulation.
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