Nokea
Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
- A. Cheese, milk, and yogurt.
- B. Liver, beef, and chicken.
- C. Bananas, oranges, and peaches.
- D. Pasta, cereal, and bread.
Correct Answer: C
Rationale: Furosemide causes potassium loss, so potassium-rich foods like bananas, oranges, and peaches should be encouraged. Dairy, meats, and carbohydrates do not address potassium needs.
You may also like to solve these questions
An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)
- A. Bowel sounds.
- B. Daily weight.
- C. Heart sounds.
- D. Blood pressure.
- E. Range of motion.
Correct Answer: B,C,D
Rationale: B: Daily weight monitors fluid retention (furosemide effectiveness). C: Heart sounds assess heart failure control (atenolol, enalapril). D: Blood pressure evaluates hypertension management (atenolol, enalapril). Bowel sounds and range of motion are unrelated to these medications’ effects.
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond?
- A. Ask the client to describe how she takes the medication.
- B. Remind the client to take the medication with plenty of water.
- C. Advise the client to go to the nearest emergency department.
- D. Suggest use of an antacid two hours after the medication.
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation if not taken properly. Assessing the client’s administration technique (e.g., with water, staying upright) identifies potential causes of heartburn, guiding further intervention.
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
- A. Avoid the intake of dairy products while using the medication.
- B. Remain upright for thirty minutes following drug administration.
- C. Take the medication one hour after meals and other medications.
- D. Follow medication administration with an additional glass of water.
Correct Answer: D
Rationale: Bulk-forming laxatives require ample water to prevent choking and ensure efficacy. Dairy avoidance, staying upright, or specific post-meal timing are not necessary.
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
- A. Avoid hazardous activities until symptoms subside.
- B. Stop taking the medication immediately.
- C. Increase intake of fluids and high-protein foods.
- D. Obtain transportation to the emergency department.
Correct Answer: A
Rationale: Fatigue and dizziness are common baclofen side effects, so avoiding hazardous activities is appropriate. Stopping abruptly, increasing fluids/protein, or seeking emergency care are not warranted without further assessment.
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
- A. Exhibits fewer emotional outbursts.
- B. Improved ability to concentrate.
- C. Decreased episodes of incontinence.
- D. Sleeps soundly through the night.
Correct Answer: D
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly through the night indicates its effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets of zolpidem.