Question

a nurse is reinforcing teaching to a client who has pulmonary edema and is receiving furosemide. which of the following should the nurse include in the teaching? (select all that apply.)
weight reduction
pursed lip breathing techniques
glycemic control
monitor intake and output
smoking cessation

Explanation:

• Weight reduction: Furosemide is a diuretic. Monitoring weight reduction helps assess fluid loss and the effectiveness of the drug in reducing pulmonary edema (as fluid overload is a factor in pulmonary edema).
• Pursed - lip breathing techniques: This helps improve ventilation and oxygenation, which is beneficial for a client with pulmonary edema (a respiratory - related condition).
• Monitor intake and output: Since furosemide causes diuresis, monitoring intake and output helps in assessing fluid balance. Too much diuresis can lead to dehydration, and insufficient diuresis may mean the treatment is not effective in reducing the fluid overload associated with pulmonary edema.
• Smoking cessation: Smoking can exacerbate respiratory conditions. For a client with pulmonary edema (a respiratory problem), smoking cessation can improve overall respiratory function and potentially reduce the risk of further exacerbation of the condition.
• Glycemic control: There is no direct link between furosemide use for pulmonary edema and glycemic control. Furosemide does not typically affect blood glucose levels in a way that would require specific teaching about glycemic control in this context.

Answer:

Weight reduction, Pursed lip breathing techniques, Monitor intake and output, Smoking cessation.