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. They are the nonproprietary names of drugs: Generic names are standardized names assigned by an official body such as the United States Adopted Names (USAN) Council. They are not owned by any drug company and are used universally across brands, making them the nonproprietary identifiers of medications.
B. They are unique to each pharmaceutical company: This describes brand or trade names, not generic names. Brand names vary between manufacturers, but the generic name remains the same regardless of who produces the medication.
C. They are not used on the NCLEX: Generic names are primarily used on the NCLEX to test nursing knowledge. Nurses are expected to recognize generic names, as they are the standard reference in clinical practice and reduce confusion associated with multiple brand names.
D. They are always capitalized and trademarked: Generic names are written in lowercase and are not trademarked. In contrast, brand names are capitalized and legally protected as trademarks by pharmaceutical companies.
Correct Answer is A
Explanation
A. "If my pain persists, I can safely increase the dose to 1500 mg every 4–6 hours.": This dose exceeds the maximum safe limit for acetaminophen. The recommended adult dose is no more than 1000 mg per dose and 4000 mg per day. Exceeding this can lead to serious hepatotoxicity, especially with prolonged use or preexisting liver conditions.
B. "I should use caution when taking acetaminophen with warfarin as it may affect my INR levels.": Acetaminophen can increase the anticoagulant effect of warfarin, possibly elevating INR and increasing the risk of bleeding. Regular monitoring is recommended when both drugs are used concurrently.
C. "I need to be cautious when taking other medications that may contain acetaminophen.": Many over-the-counter medications, such as cold and flu remedies, also contain acetaminophen. Accidental overdose can occur if this is not considered when calculating total daily intake.
D. "I should contact my healthcare provider if I experience yellowing of the skin or eyes.": Jaundice may be a sign of liver damage or failure due to acetaminophen toxicity. Early recognition of this symptom is critical for preventing serious complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.