Diuretic Critical Thinking Exercises

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.

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