The nurse is administering Furosemide 40 mg PO to a client with peripheral edema. Which method should the nurse use to best evaluate the client's response to this medication?

Monitor serum sodium levels

Auscultate breath sounds

Perform daily weights

Take the blood pressure

Answer and Explanation

The Correct Answer is C

A. Monitor serum sodium levels: While serum sodium levels can provide some information about fluid balance, they are not the most direct indicator of the effectiveness of furosemide
in reducing peripheral edema.

B. Auscultate breath sounds: This is important for monitoring potential fluid overload or pulmonary complications, but it does not directly assess the reduction of peripheral edema, which is the primary concern with furosemide administration.

C. Perform daily weights: This method is the best way to evaluate the client's response to furosemide. Daily weights can provide a clear indication of fluid status and changes in peripheral edema, as a decrease in weight typically reflects effective diuresis.
D. Take the blood pressure: While monitoring blood pressure is important, especially in clients receiving diuretics, it does not specifically measure the effectiveness of the medication in addressing peripheral edema.

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Correct Answer is A

Explanation

A) Second intercostal space right of sternum: This is the correct location for auscultating an aortic murmur. The aortic area is best heard at the second intercostal space on the right side of the sternum, where the sound of blood flow through the aortic valve is most prominent.

B) Fourth intercostal space, left mid-clavicular line: This location is typically associated with the mitral valve area, not the aortic area. While important for other heart sounds, it does not correspond to where an aortic murmur would be heard loudest.

C) Third intercostal space, left of sternum: This area is generally associated with the pulmonic area, not the aorta. Murmurs from the aortic valve would not be best heard here.

D) Second intercostal space left of sternum: This location is associated with the pulmonic area as well. An aortic murmur would not be best auscultated here, making this option incorrect for identifying an aortic murmur specifically.

A. 47-year-old male construction foreman who takes atenolol. B. 43-year-old female with Crohn's disease C. 58-year-old male who smokes one pack of cigarettes per day. D. 23-year-old female who drinks a glass of wine with dinner.

Correct Answer is B

Explanation

A. 47-year-old male construction foreman who takes atenolol: Atenolol is a beta-blocker used for hypertension and does not typically contribute to folic acid deficiency. This client’s occupation and medication are not directly associated with folate deficiency.

B. 43-year-old female with Crohn's disease: This client is at high risk for folic acid deficiency due to the malabsorption issues commonly associated with Crohn's disease. Inflammatory bowel diseases can impair the absorption of nutrients, including folate, making this client the most likely candidate for folic acid deficiency.

C. 58-year-old male who smokes one pack of cigarettes per day: Smoking is associated with various health risks, but it does not directly correlate with folic acid deficiency. This client may face other health issues, but folate deficiency is not specifically indicated.

D. 23-year-old female who drinks a glass of wine with dinner: Moderate alcohol consumption may affect folate metabolism, but a single glass of wine is unlikely to cause a significant deficiency. Other factors would need to be considered for a diagnosis of folate deficiency.

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The nurse is administering Furosemide 40 mg PO to a client with peripheral edema. Which method should the nurse use to best evaluate the client's response to this medication?

Nursing Test Bank

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