The nurse is administering furosemide 40 mg PO to a client who has peripheral edema. Which method would the nurse use to best evaluate the client's response to this medication?

Assess breath sounds

Monitor serum protein levels

Assess peripheral pulses

Monitor daily weights

Answer and Explanation

The Correct Answer is D

D. Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
A. Monitoring respiratory status but it may not be the most direct method for evaluating the effectiveness of furosemide in reducing peripheral edema.
B. Monitoring serum protein levels may provide information about the client's nutritional status and liver function, but it is not typically used as a direct measure of response to furosemide for peripheral edema.
C. Improvement in peripheral pulses may indicate a reduction in fluid overload and resolution of edema. However, changes in peripheral pulses may be influenced by factors other than diuresis, such as vascular disease or cardiac function.

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Correct Answer is C

Explanation

C. Individuals with schizotypal personality disorder often exhibit aloof and isolative behaviors, coupled with a bland and apathetic manner. This condition is characterized by significant discomfort in social situations, leading to avoidance and a lack of close relationships.
A. Individuals with this disorder may exhibit odd or peculiar behaviors, but they typically do not display manipulative or exploitative tendencies seen in other personality disorders, such as narcissistic personality disorder.
B. individuals with schizotypal personality disorder may display odd or eccentric behaviors but they are less likely to exhibit consistent patterns of generosity or selflessness.

D. Individuals with this disorder may be hypersensitive to criticism or perceived slights from others, which can lead to feelings of social anxiety or discomfort. However, social withdrawal is not a typical finding.

A. Initiate droplet precautions B. Initiate airborne precautions C. Place the client in a positive pressure room D. Initiate neutropenic precautions

Correct Answer is B

Explanation

B. Airborne precautions are used for diseases that can be transmitted through tiny respiratory droplets that remain in the air for extended periods. Examples include tuberculosis and measles. Given the symptom of coughing up blood and the possibility of an infectious respiratory disease, initiating airborne precautions could be warranted.
A. Droplet precautions are typically implemented for diseases that spread through respiratory droplets, such as influenza or pertussis. However, coughing up blood suggests a more serious condition that may not be adequately addressed by droplet precautions alone.
C. Positive pressure rooms are typically used in healthcare settings to prevent outside air from entering the room, thus reducing the risk of airborne contaminants. While this measure can be beneficial for certain conditions, such as those requiring airborne precautions, it may not be the priority intervention.
D. Neutropenic precautions are implemented for patients with compromised immune systems, particularly those with low white blood cell counts (neutropenia). While this precaution is important for protecting immunocompromised patients from infections, it may not be the priority intervention.

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The nurse is administering furosemide 40 mg PO to a client who has peripheral edema. Which method would the nurse use to best evaluate the client's response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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