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 A

Explanation

The nurse should instruct the client to obtain sterile lancets for blood glucose monitoring.
Lancets are small needles used to prick the skin to obtain a blood sample for testing blood glucose levels.
Choice B is wrong because compression stockings are not necessary for blood glucose monitoring.
Choice C is wrong because toenail clippers are not necessary for blood glucose monitoring.
Choice D is wrong because a hand mirror is not necessary for blood glucose monitoring.

A. "I will increase the amount of fresh fruits and vegetables I consume.". B. "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash.". C. "I will be sure to wear gloves and wash my hands when I change my cat's litter box.". D. "I will need to take my clothes to the dry cleaners to sterilize them.".

Correct Answer is C

Explanation

This statement indicates an understanding of the teaching because it shows that the client is aware of the importance of reducing their risk of infection by taking precautions when handling pet waste.

Choice A is wrong because while increasing the amount of fresh fruits and vegetables consumed is a healthy dietary choice, it does not demonstrate an understanding of the discharge teaching for a client with AIDS.
Choice B is wrong because while cleaning up areas soiled with body fluids is important, using alcohol and immediately disposing of the trash is not necessary.
Choice D is wrong because taking clothes to the dry cleaners to sterilize them is not necessary for a client with AIDS.

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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?

Nursing Test Bank

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Correct Answer is C

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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?