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Question ⬇

Physiological Integrity

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55. A physician orders furosemide (Lasix) for a client. What should a nurse tell the client to expect if the medication is having the desired effect?

Choices

Choices ⬆ ⬇

1. Elevated blood pressure.

2. Elevated heart rate.

3. More frequent urination.

4. Nighttime urination will decrease.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

The question is asking for the desired effect of a diuretic—look for a description that shows fluid is being removed (i.e., excreted).

Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes

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Rationale ⬆

Physiological Integrity

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3.  

Answer 1 is incorrect because furosemide lowers blood pressure, not elevates. Answer 2 is incorrect because furosemide does not usually cause tachycardia; however, the heart rate might increase if too much fluid is removed. Answer 3 is correct because the drug is a diuretic and there should be an increase in frequency and volume of urine if furosemide is working. Answer 4 is incorrect because the client needs to be told that, if the drug is taken near bedtime, the increased need to urinate will disrupt sleep.

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