Author Question: The nurse is instructing a client who is going home on diuretic therapy for the treatment of fluid ... (Read 37 times)

folubunmi · **on:** Jul 23, 2018

The nurse is instructing a client who is going home on diuretic therapy for the treatment of fluid retention caused by hypertension.

The nurse instructs the client to stop the medication and notify a health care provider if the blood pressure falls below 90/____ mmHg.
Standard Text: Round answer to the nearest whole number.

Fill in the blank with the appropriate word.

Question 2

A home care nurse is instructing a client diagnosed with congestive heart failure on daily self-monitoring between home care visits. The nurse should instruct the client to monitor and record which items?

Standard Text: Select all that apply.
1. Weight
2. Pulse
3. Temperature
4. Blood pressure
5. Respiratory rate

ghepp · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 60
Rationale: The nurse instructs the client to stop taking the medication if blood pressure is 90/60 mmHg or below, or is below the parameters set by the health care provider, and promptly notify the provider.
Global Rationale: The nurse instructs the client to stop taking the medication if blood pressure is 90/60 mmHg or below, or is below the parameters set by the health care provider, and promptly notify the provider.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: It is essential that the client measure and record weight daily to monitor for fluid loss or retention.
Rationale 2: It is essential that the client measure and record the pulse daily to determine the effectiveness of the medication therapy.
Rationale 3: There is no need for the client to measure and record a daily temperature while taking a diuretic.
Rationale 4: It is essential that the client measure and record daily blood pressure to determine the effectiveness of the medication therapy.
Rationale 5: There is no need for the client to measure and record a daily respiratory rate while taking a diuretic.
Global Rationale: It is essential that the client measure and record weight, pulse, and blood pressure daily to monitor for fluid loss or retention. There is no need for the client to measure and record a daily temperature or respiratory rates while taking a diuretic.