A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Expect some swelling in the hands and feet.
Take the medication at bedtime.
Eat foods that contain plenty of potassium.
Take aspirin if headaches develop.
The Correct Answer is C
A: Expecting some swelling in the hands and feet is incorrect. Furosemide is a diuretic used to reduce fluid buildup, so swelling should decrease, not increase.
B: Taking the medication at bedtime is not recommended because furosemide increases urine output, which can disrupt sleep. It is better to take it in the morning.
C: Eating foods that contain plenty of potassium is important because furosemide can cause potassium loss. Consuming potassium-rich foods helps maintain electrolyte balance and prevent hypokalemia.
D: Taking aspirin if headaches develop is not related to the use of furosemide. The nurse should address headache management separately and ensure the client understands the specific instructions for furosemide use.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Petechiae are small red or purple spots on the body, caused by minor bleeding from broken capillary blood vessels. This is an objective finding that can be observed and measured by the nurse.
B: Blood pressure is an objective measurement that can be quantified using a sphygmomanometer. It provides numerical data about the patient’s cardiovascular status.
C: Nausea is a subjective symptom reported by the patient. It reflects the patient’s personal experience and cannot be directly observed or measured by the nurse. Subjective data are crucial for understanding the patient’s perspective and symptoms.
D: Cyanosis is a bluish discoloration of the skin and mucous membranes due to low oxygen levels in the blood. This is an objective finding that can be observed by the nurse.
Correct Answer is B
Explanation
A: A nasal cannula delivers a lower concentration of oxygen, typically between 24-44% FIO2, and is used at flow rates of 1-6 L/min. It is not suitable for delivering 40-60% FIO2.
B: A simple face mask can deliver 40-60% FIO2 at flow rates of 5-8 L/min. It covers the nose and mouth, providing a higher concentration of oxygen compared to a nasal cannula.
C: An aerosol mask is used for delivering humidified oxygen or medications via nebulization. It can deliver varying concentrations of oxygen but is not specifically designed for 40-60% FIO2 at 5-8 L/min.
D: A face tent is used for patients who cannot tolerate a mask, such as those with facial trauma or claustrophobia. It provides humidified oxygen but does not deliver a precise FIO2 concentration.
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