Question

The nurse provides education to a client about the side effects of furosemide (Lasix). Which client statements indicate that the teaching is understood? (Select all that apply.)

1."I must not eat citrus fruits."
2."I should wear dark glasses."
3 ."I should avoid lying flat in bed."
4."I should change my position slowly."
5."I must eat a food that contains potassium every day."

Answer 1

Client statements indicating an understanding of Lasix education include wearing dark glasses due to photosensitivity, changing position slowly to avoid falls from orthostatic hypotension, and eating potassium-rich foods due to potential potassium loss. Furosemide increases urination by inhibiting sodium and chloride reabsorption in the loop of Henle.

Step-by-step explanation:

The nurse provides education to a client about the side effects of furosemide (Lasix). The client statements that indicate understanding of the teaching about furosemide side effects are:

• "I should wear dark glasses." - Furosemide can cause photosensitivity, making the eyes more sensitive to light.
• "I should change my position slowly." - This drug can cause orthostatic hypotension so changing positions slowly can prevent dizziness and falls.
• "I must eat a food that contains potassium every day." - Furosemide can lead to potassium loss, so it's important to maintain potassium levels by consuming potassium-rich foods.

Points number 1, "I must not eat citrus fruits," and 3, "I should avoid lying flat in bed," are not directly related to the side effects of furosemide.

Why Loop Diuretics Increase Urination

Loop diuretics, like furosemide, increase urination because they inhibit the reabsorption of Na+ (sodium) and Cl- (chloride) in the ascending limb of the loop of Henle. When these ions are not reabsorbed, water is not reabsorbed as well, which leads to increased urine production to expel this excess fluid.