Priority
A patient with heart failure is receiving IV furosemide. Which findings require immediate nursing intervention?
A. Urine output of 1500 mL in 4 hours
B. Potassium level of 2.9 mEq/L
C. Blood pressure 86/50 mmHg
D. Crackles in bilateral lung bases
E. Muscle weakness and irregular pulse
Correct Answers: B, C, E
Rationale:
A = expected
❌ D = underlying HF, not immediate Lasix complication
A nurse is teaching a patient with congestive heart failure (CHF) who is prescribed furosemide about daily weight monitoring. Which statement by the patient indicates a need for immediate follow-up?
A. “I will weigh myself every morning after using the bathroom.”
B. “I should report a weight gain of 2–3 pounds in one day.”
C. “I should report a weight gain of 5 pounds in one week.”
D. “I gained 1 pound today, so I will call my provider.”
Correct Answer: B and C
💡 Rationale:
= fluid retention → worsening heart failure → REPORT IMMEDIATELY
NCLEX Memory Trick
👉 “3 in a day or 5 in a week = call the provider QUICK”
Which statements indicate the patient understands teaching about furosemide?
A. “I will take this medication at night.”
B. “I should eat foods high in potassium.”
C. “I will change positions slowly.”
D. “I should report hearing changes.”
E. “I will limit fluid intake to zero.”
Correct Answers: B, C, D
The nurse is caring for 4 patients receiving furosemide. Which patient should be assessed first?
A. Patient with 3+ edema and weight gain
B. Patient with potassium 3.4 mEq/L
C. Patient with dizziness when standing
D. Patient with HR 120 and irregular rhythm
Correct Answer: D
Patient with HR 120 and irregular rhythm
A patient taking furosemide reports leg cramps. What should the nurse do FIRST?
A. Document the finding
B. Check potassium level
C. Encourage ambulation
D. Apply heat
Correct Answer: B
Check potassium level
Leg cramps = early hypokalemia sign