Practice Question
A nurse is reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Answer Choices:
Correct Answer:
Eat foods that contain plenty of potassium.
Rationale:
⭐ Furosemide is a loop diuretic that promotes significant excretion of sodium and potassium, placing clients at high risk for hypokalemia.
⭐ Consuming potassium-rich foods—such as bananas, oranges, spinach, and potatoes—helps restore and maintain normal electrolyte balance.
⭐ Adequate potassium intake reduces the risk of complications such as muscle weakness, arrhythmias, and fatigue.
⭐ Dietary reinforcement is essential because potassium loss can be rapid and severe in clients taking strong diuretics for pulmonary edema.
⭐ Teaching the client to increase potassium supports the effectiveness and safety of furosemide therapy.
Expect some swelling in the hands and feet.
⭐ Furosemide should reduce swelling, not cause it, because its purpose is to remove excess fluid.
⭐ Persistent swelling may indicate worsening heart failure and should be reported.
Take the medication at bedtime.
⭐ Furosemide causes frequent urination, so taking it at bedtime can disrupt sleep.
⭐ It should be taken in the morning.
Take aspirin for headaches.
⭐ Aspirin can increase the risk of kidney injury when combined with diuretics.
⭐ It also does not address the underlying cause of diuretic-related headaches.
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This question is from Custom PNSG 1640 MedKnow AUG 0526 which contains 20 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4