A nurse is assessing a client who is taking furosemide to treat heart failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Decreased blood pressure

Weight loss

Increased heart rate

Distended neck veins

Answer and Explanation

The Correct Answer is B

A. While furosemide may lower blood pressure, weight loss due to fluid reduction is a more direct indicator of its therapeutic effect.

B. Furosemide promotes diuresis, and weight loss is a sign of decreased fluid retention, indicating effectiveness in treating heart failure.

C. An increased heart rate is not a desired effect and may indicate volume depletion or stress.

D. Distended neck veins indicate fluid overload and would not suggest a therapeutic effect.

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Correct Answer is D

Explanation

A. Monitoring weight weekly is important for tracking nutritional status but does not directly prevent adverse effects of TPN.

B. Performing blood glucose monitoring hourly is excessive unless the client has a significant issue with blood glucose control.

C. Changing the IV dressing every 96 hours is too long; the dressing should be changed every 48–72 hours to prevent infection.

D. Changing the IV tubing every 24 hours is correct to reduce the risk of infection and contamination in TPN administration.

A. Client reports feeling more tired since starting the medication and is having trouble sleeping B. Client states, "I have also had loose stools several times this week and often get dizzy whenever I stand up." C. Temperature 37° C (98.6° F) D. Heart rate 56/min E. Respiratory rate 14/min F. Blood pressure 118/76 mm Hg

Correct Answer is ["A","B","D"]

Explanation

Client reports feeling more tired since starting the medication: Fatigue is a common side effect of beta-blockers due to decreased cardiac output.

Client states, "I have also had loose stools several times this week": Gastrointestinal disturbances, including diarrhea, can occur with labetalol.

Client states, "I often get dizzy whenever I stand up.": This suggests orthostatic hypotension, a known adverse effect of labetalol due to vasodilation and decreased sympathetic response.

Heart rate 56/min: This is bradycardia, a classic adverse effect of beta-blockers, particularly in clients without prior use.

The temperature, respiratory rate, and blood pressure are all within normal ranges.

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A nurse is assessing a client who is taking furosemide to treat heart failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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