A 70-year-old female is admitted to the hospital with heart failure, shortness-of-breath (SOB), and 3+ pitting edema in her lower extremities. Her current medications are furosemide (Lasix), digoxin (Lanoxin), and an angiotensin-converting enzyme (ACE) inhibitor (Lotensin). She states that she stopped taking her Lasix because she did not think that it was helping her heart failure. Her physician orders furosemide (Lasix) 5 mg IV push. Which client assessment determines that the medication is working?

A. Decreased blood pressure (BP)
B. Increased heart rate
C. Increased urine output
D. Weight gain


Answer: C. Increased urine output

Nursing

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The client who has just been diagnosed as HIV-positive asks if he poses a health hazard to his co-workers in the secretarial pool. What is the nurse's best response?

A. "The only time you could make someone else sick is when you have Pneumocystis pneumonia." B. "As long as you are taking your antiviral medications, you cannot transmit the virus to your co-workers." C. "Unless your blood or other body fluids comes into contact with your co-workers, you are not a health risk to them." D. "You should inform your co-workers of your HIV status so that they can take proper precautions to reduce their risk."

Nursing

A patient diagnosed with gout is concerned that the small "lumps" on his ear and big toe will become lodged in his blood, resulting in a blood clot. Which explanation by the nurse is most accurate?

1. "Clots will not develop if you take your antigout medicine.". 2. "Unfortunately, this is a common complication associated with gout.". 3. "You will need to talk with the physician during your next visit.". 4. "These ‘lumps' do not cause clots.".

Nursing

How can a nurse obtain additional information about a client?

A) Read the client's history and assessment. B) Call the client's family. C) Ask the client's sister about the family history. D) Review nursing literature.

Nursing

Laboratory studies are performed for a child suspected of having iron deficiency anemia. The nurse reviews the laboratory results, knowing that which of the following results would indicate this type of anemia?

A. An elevated hemoglobin level B. A decreased reticulocyte count C. An elevated RBC count D. Red blood cells that are microcytic and hypochromic

Nursing