A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema.

Which of the following assessment findings indicates to the nurse that the medication is effective?

Adventitious breath sounds.

Elevation in blood pressure.

Weight loss of.8 kg (4 Ib) in the past 24 hr.

Respiratory rate of 24/min.

Answer and Explanation

The Correct Answer is C

“Weight loss of.8 kg (4 Ib) in the past 24 hr.” Furosemide is a diuretic that decreases the pressure caused by excess fluid in the heart and lungs.
A weight loss of.8 kg (4 Ib) in the past 24 hr indicates that excess fluid is being removed from the body, which is a sign that the medication is effective.
Choice A is incorrect because adventitious breath sounds are a symptom of pulmonary edema, not an indication that the medication is effective.
Choice B is incorrect because furosemide has direct vasodilatory outcomes 2, which would decrease blood pressure, not elevate it.
Choice D is incorrect because there is no information found to support this statement.

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Correct Answer is B

Explanation

The nurse’s priority should be to assess the client’s gag reflex.

After an endoscopy with moderate (conscious) sedation, it is important to ensure that the client’s gag reflex has returned before allowing them to eat or drink.
Choice A is incorrect because while pain management is important, it is not the nurse’s priority in this situation.
Choice C is incorrect because the warmth of extremities is not the nurse’s priority in this situation.
Choice D is incorrect because temperature is not the nurse’s priority in this situation.

A. High-Fowler's. B. Side-lying. C. Feet elevated. D. Reverse Trendelenburg.

Correct Answer is C

Explanation

The nurse should place the client in a position with their feet elevated.

This position helps to increase blood flow to the vital organs and can help improve the client’s blood pressure.
Choice A is not the answer because the Reverse Trendelenburg position does not help improve blood flow to vital organs.
Choice B is not the answer because the side-lying position does not help improve blood flow to vital organs.
Choice D is not the answer because High-Fowler’s position does not help improve blood flow to vital organs.

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A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?

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A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema.

Which of the following assessment findings indicates to the nurse that the medication is effective?