A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of
the following findings is an indication that the furosemide has been effective?
The client's potassium level is increased.
The client reports relief of dyspnea.
The client's weight is stable from the previous day.
The client reports decreased hunger.
The Correct Answer is B
Choice A reason: Furosemide is a loop diuretic that can lower potassium levels, so an increase in potassium is not an
expected outcome.
Choice B reason: Relief of dyspnea is a primary goal of furosemide administration in heart failure, as it reduces fluid overload and pulmonary congestion.
Choice C reason: A stable weight might indicate that fluid retention has not worsened, but it does not necessarily reflect the effectiveness of furosemide in reducing fluid overload.
Choice D reason: Decreased hunger is not a direct indicator of furosemide effectiveness and could be related to other factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Choice A reason: This question is relevant as it helps to assess the risk factors associated with different types of sexual activities and the potential exposure to STIs.
Choice B reason: While contact information may be used for partner notification, it is not typically part of the initial risk assessment for STIs.
Choice C reason: Knowing the number of sexual partners is important for risk assessment, but it is not as immediate as understanding the nature of those relationships.
Choice D reason: The age of sexual partners can be relevant for certain risk assessments, but it is not the primary concern when initially assessing STI risk.
Correct Answer is A
Explanation
Choice A reason: Detoxification is often the first step in the treatment for substance use disorders, as it safely manages the acute physical symptoms of withdrawal.
Choice B reason: Case management is important but typically follows initial medical treatment such as detoxification.
Choice C reason: Education about the effects of substances is a part of treatment but usually comes after the detoxification process.
Choice D reason: Support groups are a key component of ongoing treatment and recovery but are not usually the first phase of treatment.
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