Clinical judgment · practice question
A client with heart failure started furosemide 40 mg PO daily 2 days ago. For each finding, indicate whether it is expected or requires follow-up.
Matrix / gridMedium
Choose for each row.
| Item | Expected | Requires follow-up |
|---|---|---|
| Weight down 1 kg (2.2 lb) since yesterday | ||
| Serum potassium 3.1 mEq/L | ||
| Increased urine output | ||
| Leg cramps and muscle weakness | ||
| Fewer crackles than on admission |
Answer and explanation
Correct answer
- Weight down 1 kg (2.2 lb) since yesterday: Expected
- Serum potassium 3.1 mEq/L: Requires follow-up
- Increased urine output: Expected
- Leg cramps and muscle weakness: Requires follow-up
- Fewer crackles than on admission: Expected
Why
Loop diuretics remove fluid (good) and potassium (a risk). Expect weight loss and less congestion, and watch for hypokalemia and its symptoms.
References
- A current nursing drug handbook (e.g. Davis's Drug Guide for Nurses)
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