A nurse is providing client education for a client who has been prescribed with furosemide (Lasix). Which of the following statements should the nurse include?

This medication an osmotic diuretic that reduces intracranial pressure

This medication works on the distal tubule of the kidney"

An adverse effect of this medication is hyperkalemia

This medication is used for pulmonary edema caused by heart failure.

Answer and Explanation

The Correct Answer is D

A.   This medication is an osmotic diuretic that reduces intracranial pressure: Furosemide is a loop diuretic, not an osmotic diuretic.
B.   This medication works on the distal tubule of the kidney: Furosemide works on the loop of Henle, not the distal tubule.
C.   An adverse effect of this medication is hyperkalemia: Furosemide can cause hypokalemia, not hyperkalemia.
D.   This medication is used for pulmonary edema caused by heart failure: Furosemide is commonly used to treat fluid retention and pulmonary edema caused by heart failure.

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Correct Answer is C

Explanation

A. Inhaling and exhaling quickly through pursed lips does not achieve the intended purpose of pursed-lip breathing. This technique is designed to promote slower, controlled breathing to prevent airway collapse and improve oxygen exchange.

B. Exhaling quickly through pursed lips negates the benefits of pursed-lip breathing. The purpose of this technique is to prolong exhalation, reducing air trapping and improving ventilation.

C. Inhaling deeply through the nose and exhaling slowly through pursed lips is the correct technique for pursed-lip breathing. This method helps maintain open airways, reduces dyspnea, and promotes relaxation.

D. Inhaling deeply through pursed lips and exhaling quickly through the nose is not consistent with proper pursed-lip breathing. The inhalation should be through the nose, and exhalation should be slow and controlled through pursed lips.

A. Notify the physician to change the route of administration. B. Do not give the medication and notify the provider for further clarification. C. Administer the medication and then monitor for adverse reactions. D. Verify the client's identity and administer the medication as prescribed.

Correct Answer is B

Explanation

A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.

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A nurse is providing client education for a client who has been prescribed with furosemide (Lasix). Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?

Correct Answer is C

Explanation

The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

Correct Answer is B

Explanation

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