An older adult client is suffering from urinary incontinence.
Which statement from the client suggests they have overflow incontinence?

The nurse should clarify the prescription for Furosemide due to the client’s 2. Potassium level. The client’s potassium level is 3.2 mEq/L, which is below the normal range of 3.5 to 5 mEq/L. This could indicate hypokalemia, a condition that can cause weakness, fatigue, and heart rhythm problems. Therefore, it would be important for the nurse to clarify the prescription for potassium chloride, which is a medication used to treat or prevent low potassium levels. Please note that this is an assessment based on the information provided

Furosemide, also known as a loop diuretic, works by inhibiting the Na+/K+/2Cl- cotransporter in the ascending thick loop of Henle in the kidneys1. This part of the kidney is responsible for reabsorbing sodium, chloride, and potassium from the urine back into the body1.

When Furosemide inhibits this process, it leads to an increase in the amount of these electrolytes in the urine, which in turn leads to their decreased levels in the body1. This is why Furosemide can cause a decrease in potassium levels in the body, a condition known as hypokalemia23.

It’s important to note that while Furosemide helps in relieving the body of excess fluid, its use may lead to the depletion of certain electrolytes in the body, such as potassium3. Therefore, if you are taking Furosemide, your doctor may need to monitor your potassium levels or have you consume more potassium4.

Choice A rationale

Having a total cholesterol level below 200 mg/dL is generally considered healthy and does not increase stroke risk. High cholesterol can contribute to atherosclerosis, a condition that increases stroke risk.

Choice B rationale

Losing excess weight can indeed help decrease stroke risk. Obesity is a risk factor for several health conditions that increase stroke risk, including hypertension and diabetes.

Choice C rationale

Glucocorticoids are not typically prescribed to decrease stroke risk. In fact, long-term use of glucocorticoids can increase the risk of conditions such as hypertension and diabetes, which in turn can increase stroke risk.

Choice D rationale

An HbA1c level of 6 percent or less is generally considered good blood sugar control for people with diabetes. Good blood sugar control can help prevent complications of diabetes, including stroke.