The nurse is counseling a client with congestive heart failure (CHF) about newly prescribed bumetanide. The nurse determines that the teaching has been effective when the client plans to
The nurse is counseling a client with congestive heart failure (CHF) about newly prescribed bumetanide. The nurse determines that the teaching has been effective when the client plans to
A. increase their daily intake of protein.
[1%]
B. record their daily urinary output.
[10%]
C. weigh themselves daily.
[71%]
D. take their blood pressure and pulse daily.
[17%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. For a client with congestive heart failure prescribed bumetanide, a loop diuretic, the client should verbalize the importance of weighing themselves daily. Their daily weight should be obtained in the morning after the first void.
Choices A, B, and D are incorrect. Increasing the intake of protein while taking a loop diuretic is not necessary. It is potassium that should be increased because bumetanide is a potassium-wasting diuretic. Recording the client's urinary output is not necessary, nor is it an accurate way to determine the client's fluid status. Intake and output are crude ways of determining a client's fluid level. Blood pressure should be monitored while a client takes this medication - but not daily. Additionally, this medication does not impact the pulse and thus is irrelevant.
Related Videos
4 Key Topics
Heart Failure
18.13 Complications of Heart Disease
Diuretics
6.8 Renal System Drugs
Additional Info
Loop diuretics act primarily along the thick ascending limb of the loop of Henle, blocking chloride and, secondarily, sodium resorption. Loop diuretics are also thought to activate renal prostaglandins, which dilate the blood vessels of the kidneys, the lungs, and the rest of the body (i.e., reduction in renal, pulmonary, and systemic vascular resistance). The hemodynamic effects of loop diuretics are a reduction in both the preload and central venous pressures (which are the filling pressures of the ventricles). These actions make them useful in treating the edema associated with heart failure, hepatic cirrhosis, and renal disease.
Examples of loop diuretics include - bumetanide, ethacrynic acid, furosemide, and torsemide.
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