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 C

Explanation

A. Have biannual renal function studies: While monitoring renal function can be important, it is not specifically required for all patients on rosuvastatin. The focus should be on liver function and muscle-related side effects.

B. Stop the medication if you develop a headache: Headaches are not a common or serious side effect of rosuvastatin. Patients should not stop the medication without consulting their healthcare provider unless they experience severe symptoms.

C. Report muscle weakness or pain: This is critical information to provide. Statins, including rosuvastatin, can cause muscle-related side effects such as myopathy or rhabdomyolysis. Patients should be instructed to report any unexplained muscle weakness, pain, or tenderness.

D. Monitor body weight weekly: While maintaining a healthy weight is important, weekly weight monitoring is not a standard recommendation for patients taking rosuvastatin.

A. "What were you doing when the pain started?" B. "How long has the pain lasted?" C. "How would you describe the pain?" D. "How has the pain affected your relationship with your spouse?" E. "Can you rate the pain on a 0-10 scale with 10 being the worst?"

Correct Answer is ["A","B","C","E"]

Explanation

A. "What were you doing when the pain started?" This question helps identify potential triggers or activities that may have precipitated the chest pain, which is crucial for understanding the context of the pain.

B. "How long has the pain lasted?" Knowing the duration of the pain is vital in assessing the urgency of the situation and determining whether it may be related to a serious condition like angina or myocardial infarction.

C. "How would you describe the pain?" This question allows the client to characterize the pain (e.g., sharp, dull, squeezing), which can provide insights into the potential causes and the nature of the chest pain.

D. "How has the pain affected your relationship with your spouse?" While this question might provide some psychosocial context, it is less directly related to the immediate assessment of the chest pain itself and can be considered secondary.

E. "Can you rate the pain on a 0-10 scale with 10 being the worst?" Pain rating is essential in assessing the severity of the pain, which can help guide treatment and interventions.

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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?

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