Nokea
A client with heart failure is prescribed furosemide (Lasix). Which assessment finding indicates the medication is effective?
- A. Increased blood pressure.
- B. Decreased edema.
- C. Weight gain.
- D. Elevated potassium levels.
Correct Answer: B
Rationale: Furosemide is a diuretic that reduces fluid overload, so decreased edema indicates effective treatment by promoting fluid excretion.
You may also like to solve these questions
Which of the following is a nursing diagnosis that reflects some unexpected response to a therapy?
- A. Episiotomy extension related to a forceps delivery
- B. Respiratory depression related to NSAIDs
- C. Hemothorax related to a latex allergy
- D. All of the above
Correct Answer: D
Rationale: All listed diagnoses reflect unexpected responses to therapies (forceps delivery, NSAIDs, latex exposure), qualifying as adverse reactions.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
- A. Use a slide board.
- B. Use a mechanical lift.
- C. Use a gait belt.
- D. Notify the client's doctor that the client cannot be safely transferred by you.
Correct Answer: B
Rationale: For a paralyzed client requiring assistance, a mechanical lift is the safest transfer method, minimizing risk of injury to both the client and staff.
An adolescent is being prepared for an emergency appendectomy. The nurse should tell the client? Select all that apply.
- A. Friends can visit whenever they want.
- B. The scar will be small.
- C. The teen will be back in school in 1 week.
- D. Antibiotics will be given to prevent an infection.
- E. A dressing will stay in place for 1 week.
Correct Answer: B,C,D
Rationale: A small scar, school return in about a week, and prophylactic antibiotics are accurate expectations for appendectomy recovery. Unrestricted visits and prolonged dressing use are incorrect.
The nurse is observing an unlicensed assistive personnel (UAP) care for an older client who had surgery (insertion of a prosthesis) following a hip fracture 4 days ago. To prevent client injury, the nurse should intervene in the care when which action is performed by the UAP?
- A. Elevates the head of bed 30 degrees
- B. Assists the client in inserting dentures
- C. Obtains a bedside commode to keep in the room
- D. Places pillows between the legs when turning the client
Correct Answer: C
Rationale: After hip surgery when a prosthesis has been inserted, a client should not flex the body more than 90 degrees relative to the chair; sitting on a commode would mean a low seat. The toilet seat should be raised, so a special adapted commode should be placed in the room. The head of the bed can be raised slightly for comfort. Assisting the client in inserting dentures is within the duties of a UAP. The legs should be kept abducted, so using pillows between the legs when turning is required.
A client with chronic kidney disease is on a low-potassium diet. Which of the following foods should the nurse recommend?
- A. Bananas
- B. Apples
- C. Oranges
- D. Potatoes
Correct Answer: B
Rationale: Apples are low in potassium, suitable for a renal diet. Bananas, oranges, and potatoes are high in potassium and should be avoided.