RN Nursing · Diuretic Medications · Practice question
A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?
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"Taking furosemide can cause your potassium levels to be high."
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"Eat foods that are high in sodium."
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"Taking furosemide can cause you to be overhydrated."
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✓
"Rise slowly when getting out of bed."
Answer & explanation
Correct: "Rise slowly when getting out of bed."
Furosemide is a loop diuretic that causes significant fluid and electrolyte loss, which can lead to orthostatic hypotension. Instructing the client to rise slowly helps prevent dizziness and falls. Furosemide causes potassium loss (hypokalemia), not elevated potassium levels. Clients with heart failure should follow a low-sodium diet to reduce fluid retention; encouraging high sodium intake is contraindicated. Furosemide promotes diuresis, reducing fluid volume rather than causing overhydration, making that statement incorrect.
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