Diuretic Critical Thinking Exercises: A 72-year-old male client was diagnosed with begin

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Asked by Evemayers56

        Diuretic Critical Thinking Exercises:
A 72-year-old male client was diagnosed with beginning heart failure that has been controlled by 
hydrochlorothiazide (HCTZ) 25 mg orally each day for the past 11 months. Two days ago he was 
admitted to the telemetry unit for sinus bradycardia and increased peripheral edema. This morning his 
weight indicated that he gained 4 pounds since admission. The client also reports new-onset shortness 
of breath.

 Use an X to indicate whether the nursing actions below are Anticipated (appropriate or 
necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not 
necessary) for the client’s care at this time. 
 

       Nursing Action                                                    Anticipated                      Contraindicated                  Non-Essential
 

a). Draw a comprehensive metabolic panel 
      (CMP

b).  Carefully monitor the client’s intake and 
      output
c)   Initiate oxygen therapy.
D).  Continue to carefully monitor daily weights.
E)    Prepare to administer IV push furosemide 
        stat.
F).   Keep the client in a supine flat position.
G).  Monitor the client’s vital signs frequently.

SCIENCE
HEALTH SCIENCE
NURSING
NUR 317

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