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 D
Explanation
A. Advise the parent to discontinue the medication immediately: Discontinuing the medication without consulting the healthcare provider is unsafe. Stimulants are effective in managing ADHD symptoms, and any adjustments should be made under medical supervision. Abrupt cessation may lead to a return or worsening of symptoms.
B. Encourage the parent to eliminate all snacks between meals to promote hunger at mealtimes: While reducing snacks may improve appetite, it can also result in missed opportunities for nutrient intake, especially when the child already has a reduced appetite due to the medication. This intervention is not the most appropriate or immediate.
C. Encourage the parent to increase the child's physical activity to stimulate appetite: Physical activity can naturally increase appetite over time, but it is not the most direct or effective strategy for managing stimulant-induced appetite suppression. This approach is more of a long-term supportive strategy.
D. Encourage the parent to make breakfast the most important meal of the day before administering the medication: Stimulant medications commonly reduce appetite, especially later in the day. Ensuring the child eats a nutritious breakfast before taking the medication helps maximize calorie and nutrient intake when appetite is highest. This is the most appropriate initial nursing intervention.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
- Subcutaneous: A parenteral route where medication is injected into the tissue layer between the skin and muscle. It bypasses the gastrointestinal (GI) tract, allowing for faster absorption of certain medications like insulin or heparin.
- NG Tube: A form of enteral administration that delivers medication directly into the stomach via a nasogastric tube. This route utilizes the GI tract and is often used for patients who cannot swallow.
- Oral: A classic enteral route involving medication taken by mouth and absorbed through the digestive tract. It is the most common and convenient method of drug delivery.
- Rectal: An enteral route that involves administration of medication into the rectum, where it is absorbed by the lower GI tract. It is often used when oral administration is not feasible.
- Intramuscular: A parenteral route where medication is injected into a muscle, offering faster absorption than enteral routes. Common for vaccines and certain pain medications.
- Intravenous: A parenteral route that delivers medication directly into the bloodstream. It provides the most rapid onset of action and is used for critical care, emergencies, and precise dosing.
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