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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: The client attempting to remove the restraint does not necessarily indicate a need to loosen it. The nurse should assess the reason for the client’s behavior.
B: The client’s hand being cold and pale indicates compromised circulation, which requires immediate loosening of the restraint to restore blood flow.
C: Full range of motion in the wrist suggests that the restraint is not too tight and does not need to be loosened.
D: A capillary refill of less than 2 seconds indicates good circulation, so the restraint does not need to be loosened.
Correct Answer is D
Explanation
A: Using a microwave for cooking is generally safe for older adults with decreased vision. Microwaves are user-friendly and reduce the risk of burns or fires compared to stovetops. However, it is important to ensure that the microwave is at an accessible height and that the user can read the controls or has them memorized.
B: Handrails in the bathroom are a safety feature, not a risk. They provide support and stability, reducing the likelihood of falls, which is crucial for individuals with decreased vision. Properly installed handrails can significantly enhance bathroom safety.
C: Electrical cords placed along the walls are typically not a safety risk if they are secured properly and do not create tripping hazards. It is important to ensure that cords are not loose or crossing walkways where they could cause falls.
D: Scatter rugs in the kitchen are a significant safety risk for older adults with decreased vision. These rugs can easily cause tripping and falling, especially if they are not secured with non-slip backing. Removing scatter rugs or securing them properly is essential to prevent accidents.
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