Question

A client being treated for heart failure is administered intravenous bumetanide. Which outcome indicates that the medication has achieved the expected effect?

1. Cough becomes productive of frothy pink sputum.
2.Urine output increases from 10 mL/hour to greater than 50 mL hourly.
3.The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to 3.1 mmol/L).
4.B-type natriuretic peptide (BNP) factor increases from 200 to 262 pg/mL (200 to 262 ng/L).

Answer 1

The expected effect of administering bumetanide to a client with heart failure is an increase in urine output.

Step-by-step explanation:

The expected effect of administering intravenous bumetanide to a client being treated for heart failure is an increase in urine output. Therefore, option 2: Urine output increases from 10 mL/hour to greater than 50 mL hourly indicates that the medication has achieved the expected effect. Bumetanide is a loop diuretic that inhibits the reabsorption of sodium (Na+) and chloride (Cl-) ions by the ascending limb of the loop of Henle. This increases the excretion of water and electrolytes, leading to increased urine output.