A client with heart failure gained 2.5 kg (5.5 lb) in 2 days and has crackles and 2+ edema. The provider orders furosemide 40 mg IV now. What is the best nursing action?

Question

Accepted Answer

A. Administer the medication as ordered and monitor response — Rapid weight gain, crackles, and edema suggest fluid overload. IV loop diuretics are appropriate; the nurse should administer as ordered, monitor urine output, electrolytes, and blood pressure.

Answer

B. Hold the medication because crackles indicate dehydration

Answer

C. Encourage the client to drink more fluids before giving it

Answer

D. Request a potassium level before giving the first dose