Question

Why should a client taking a loop diuretic weigh themselves daily?

a) To monitor electrolyte levels
b) To assess for dehydration
c) To track changes in blood pressure
d) To detect fluid retention

Answer 1

Daily weight measurements are important for clients taking loop diuretics as they help to detect fluid retention or excessive fluid loss that could lead to dehydration. This monitoring ensures a proper balance of fluid and electrolytes, which is critical when managing conditions like hypertension with diuretic therapy.

Step-by-step explanation:

A client taking a loop diuretic should weigh themselves daily to detect fluid retention. Loop diuretics, such as furosemide, are used to treat conditions like hypertension and congestive heart failure by inhibiting the reabsorption of Na+ and Cl- ions in the kidneys, which leads to increased urine output. While this can effectively reduce fluid retention and decrease blood pressure, it can also lead to fluctuations in weight due to changes in body fluid levels.

By measuring body weight daily, the client and their healthcare provider can assess if the diuretic is causing excessive fluid loss leading to dehydration, or if fluid retention is still occurring despite treatment. Sudden weight gain may indicate fluid build-up, whereas weight loss could signal dehydration. Monitoring weight helps to ensure the proper balance of fluid and electrolytes in the body, which is essential for maintaining health while on diuretic therapy.