A home health nurse is visiting a client who has heart failure
and a prescription for furosemide. The nurse identifies that the
client has gained 2.5 kg (5 lb.) since the last visit 2 days ago.
Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a
chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain -
....ANSWER...c. Determine medication adherence by the
client
A nurse is preparing to administer the initial dose of penicillin
G IM to a client. The nurse should
monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia - ....ANSWER...a. Urticaria
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