An elderly patient with a history of heart failure has presented to the emergency department in respiratory distress. Assessment reveals the presence of pulmonary edema, and an infusion of IV furosemide (Lasix) has been ordered
For the duration of treatment, the nurse should prioritize assessments related to what nursing diagnosis? A) Risk for deficient fluid volume related to diuretic administration
B) Risk for decreased cardiac output related to adverse effects of furosemide
C) Ineffective health maintenance related to pulmonary edema
D) Functional urinary incontinence related to diuretic administration
A
Feedback:
Increased diuresis creates a risk of deficient fluid volume. Impaired health maintenance and urinary incontinence are not priorities at this time. Lasix will not reduce cardiac output.
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