Difficulty: Medium
Average Score: 71%
Simulated
A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?
Correct answer
C
Rationale
Bilateral coarse crackles are hallmark signs of pulmonary edema, caused by fluid leaking into alveoli from increased left heart pressure. Furosemide, a loop diuretic, reduces this fluid by enhancing renal excretion, relieving lung congestion. This finding directly correlates with the drug's purpose├óÔé¼ÔÇØremoving excess fluid to improve oxygenation and reduce respiratory distress. A. Blood pressure of 100/70 mm Hg may suggest fluid overload but is not specific. B. Vesicular sounds indicate healthy lungs, not requiring diuretics. D. Low potassium is a side effect, not an indication.