A nurse is reinforcing discharge teaching about transmission precautions with a client who has hepatitis C. Which of the following information should the nurse include?

A. Evaluating the effectiveness of acetaminophen administered 30 min ago to a client who reported a headache: Assessing medication effectiveness requires professional judgment to evaluate pain relief, side effects, and changes in condition. This is within the registered nurse’s scope of practice and cannot be delegated to an assistive personnel (AP).

B. Discussing upcoming dietary changes with a client who has a new prescription for a low-cholesterol diet: Teaching about diet involves interpretation, assessment of understanding, and individualized instruction, which are nursing responsibilities. APs cannot provide education about new prescriptions or therapeutic diets.

C. Measuring urine output every 2 hr for a client recently diagnosed with a urinary tract infection: Measuring and recording urine output is a routine, stable, and predictable task that does not require professional judgment. APs are qualified to perform this task under supervision, making it appropriate for delegation.

D. Inserting a temporary nasogastric tube for a client who has a prescription for laboratory analysis of stomach contents: Nasogastric tube insertion is an invasive procedure requiring skill, assessment, and clinical judgment. It falls within the registered nurse’s scope of practice and cannot be delegated to an AP.

A. "Administer the medication early in the day.": Furosemide is a loop diuretic that increases urine output. Giving it early in the day helps prevent nocturia and sleep disturbances, ensuring the child remains well-rested while still receiving the therapeutic effect of fluid removal.

B. "Restrict foods that are high in potassium in your child's diet.": Furosemide can cause potassium loss, so the child’s diet should include potassium-rich foods rather than restrict them. Adequate potassium intake helps prevent hypokalemia, which can cause muscle weakness, arrhythmias, and other complications.

C. "Anticipate that your child will gain weight rapidly while taking this medication.": Furosemide typically reduces fluid retention, which may lead to weight loss or stabilization, not rapid weight gain. Rapid weight gain would indicate fluid accumulation or worsening heart failure, requiring further evaluation.

D. "Expect your child's urine to appear concentrated and dark yellow.": Furosemide increases urine output and dilutes the urine. Urine is more likely to be pale or clear rather than concentrated and dark yellow unless the child is dehydrated or not adequately hydrated.