The nurse is caring for a patient who has a history of congestive heart failure and takes once-daily furosemide (Lasix) in order to prevent fluid overload and pulmonary edema
The patient tells the nurse that she has stopped taking the medication because she has to urinate frequently during the night. What is the nurse's best response?
a.
"You should ask your doctor to decrease the dose."
b.
"Take the diuretic early in the morning before breakfast."
c.
"Eat foods high in potassium and limit your salt intake."
d.
"Restrict your fluid intake after dinner and in the evening."
ANS: B
The patient should be instructed to take the diuretic early in the morning so that the effects will wear off before the patient goes to bed at night. Decreasing the dose could lead to fluid overload and pulmonary edema.
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