When reinforcing teaching with a client who has a new prescription for furosemide, the nurse should include the following adverse effect that the client should report to the provider:
d. Ringing in the ears (tinnitus)
Tinnitus, or a perception of ringing or noise in the ears, can be an adverse effect of furosemide. It is important for the client to report this symptom to the healthcare provider as it may indicate a potential problem with the medication or require further evaluation.
Option a, "Muscle pain and stiffness," is not a common adverse effect of furosemide and is more commonly associated with other medications or conditions.
Option b, "Increased appetite," is not typically an adverse effect of furosemide. It may be more relevant to medications or conditions that affect appetite or metabolism.
Option c, "Drowsiness and sedation," can occur with furosemide but is generally considered a less common adverse effect. It is important for the client to be aware of the potential for drowsiness and sedation and take precautions, such as avoiding activities that require alertness, but it may not be the most important adverse effect to report to the provider.
Option e, "Improved vision," is not an adverse effect associated with furosemide. It is not a typical response to the medication and is not relevant to the teaching in this scenario.
Therefore, the nurse should include the adverse effect of ringing in the ears (tinnitus) as the one that the client should report to the provider (option d).