A nurse is collecting data from a child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
An increase in the child's potassium level
A decrease in the child's edema
An increase in the child's respiratory rate
A decrease in the child's appetite
The Correct Answer is B
A. An increase in potassium levels is not directly related to the effectiveness of furosemide, which is a diuretic and can actually cause hypokalemia.
B. A decrease in edema indicates that the diuretic is effectively removing excess fluid from the body, which is a desired effect of furosemide in treating heart failure.
C. An increase in respiratory rate could indicate worsening heart failure or fluid overload, not the effectiveness of the medication.
D. A decrease in appetite is not a specific indication of the effectiveness of furosemide.
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Related Questions
Correct Answer is D
Explanation
A. Tinnitus is not commonly associated with hypocalcemia. It is more often related to issues with the auditory system or certain medications.
B. Elevated blood pressure is not a typical sign of hypocalcemia. Hypocalcemia usually affects neuromuscular function rather than causing changes in blood pressure.
C. Constipation is not commonly linked to hypocalcemia. More frequent symptoms include neuromuscular irritability and spasms.
D. Muscle tremors are a common finding in hypocalcemia due to increased neuromuscular excitability. Hypocalcemia can lead to symptoms such as muscle cramps, spasms, and tremors due to the low levels of calcium affecting nerve and muscle function.
Correct Answer is B
Explanation
A. Giving the infant a bottle immediately before bedtime is not recommended as it can increase the likelihood of reflux symptoms during sleep. It is better to have some time between feeding and sleeping to allow for digestion.
B. Keeping the infant at a 30° angle for 1 hr following each feeding helps to reduce the risk of reflux by using gravity to keep the stomach contents down. This position can aid in preventing the backflow of stomach contents into the esophagus.
C. Changing to a soy-based formula is not universally recommended for gastroesophageal reflux without a specific indication, such as a confirmed cow's milk protein allergy. It is important to follow a healthcare provider's specific recommendations regarding formula.
D. Limiting feedings to every 6 hours is not appropriate for a 2-month-old infant, who typically requires more frequent feedings to meet nutritional needs and maintain growth.
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