medium · NCLEX-RN Management of Care

The nurse is assessing a client with a history of heart failure who was started on furosemide two hours ago.

Which finding would most likely indicate that the medication is having the intended therapeutic effect?

  1. The client's serum potassium level has decreased from 4.2 mEq/L to 3.6 mEq/L since the morning lab draw, for this client.
  2. The client's blood pressure has decreased from 140/88 mm Hg to 128/82 mm Hg since receiving the medication, for this client.
  3. The client has voided 800 mL of clear yellow urine into the graduated cylinder since the dose was given.
  4. The client's lung sounds show a decrease in crackles in the bases and the client reports improved ease of breathing.

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