The nurse is providing discharge instructions to a client who has been started on furosemide (Lasix) once daily. What information is essential to include in this information?
1. Take the medication at bedtime.
2. Avoid high-potassium foods.
3. Stand up slowly from a sitting position.
4. Do not take this medication on the days you take digitalis (Lanoxin).
Correct Answer: 3
Rationale 1: The medication should be taken in the morning to prevent awakening at night to void.
Rationale 2: The client should be encouraged to eat potassium-rich foods and will probably be prescribed a potassium supplement.
Rationale 3: Clients who are taking diuretics must make position changes slowly in order to minimize dizziness from orthostatic hypotension.
Rationale 4: While clients who take digitalis (Lanoxin) and furosemide (Lasix) are at higher risk for the development of digitalis toxicity, the medications are often taken concurrently. The client and health care provider must monitor these clients closely for the development of digitalis toxicity.
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