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. Restricting fluid intake is not recommended; instead, increasing fluids helps flush out the contrast dye used during the procedure and aids in kidney function.
B. Children typically can return to school within a few days to a week, not 3 to 4 weeks, unless otherwise directed by the physician. Prolonged absence is generally unnecessary unless complications arise.
C. The catheterization site should not have drainage for 3 to 5 days. Any drainage could indicate an infection or other complication and should be evaluated by a healthcare provider.
D. Avoiding baths for the first 3 days helps prevent infection at the catheterization site. Sponge baths are recommended to keep the site clean and dry during the initial healing period.
Correct Answer is B
Explanation
A. A urine collection device is not appropriate for collecting stool specimens. It is designed for urine collection, not stool.
B. This method is suitable for collecting a stool specimen for the purpose of checking for ova and parasites if a stool sample is not immediately available. It helps ensure that the sample is collected directly from the rectal area.
C. Povidone-iodine (Betadine) can interfere with the results of ova and parasite testing. It is not appropriate to use it for transferring or handling stool specimens.
D. Stool specimens for ova and parasites should ideally be kept cool and sent to the lab as soon as possible. Room temperature storage can affect the integrity of the specimen and impact the accuracy of the test.
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