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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Meat and eggs mostly contain unsaturated fats: This statement is incorrect. Meat and eggs are primarily sources of saturated fats, which should be limited in a diet aimed at reducing coronary artery disease risk.
B. Coconut oil has a rich flavor and is a good cooking oil: This is misleading. While coconut oil is popular, it is high in saturated fats, and many health guidelines recommend limiting its use, especially for those with coronary artery disease.
C. "Olive oil is high in saturated fats so I should avoid it": This statement is also incorrect. Olive oil is primarily composed of monounsaturated fats, which are considered heart-healthy and are recommended in moderation for individuals with coronary artery disease.
D. "Canola oil is a monounsaturated fat and is recommended": This statement is accurate. Canola oil contains a high proportion of monounsaturated fats and is often recommended as a healthier option for cooking and salad dressings for those looking to limit saturated fat intake.
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.
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