A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

A. "Decreased excretion of urine sodium": Bumetanide is a loop diuretic that works by increasing the excretion of sodium and water through the kidneys. Therefore, a decreased excretion of sodium would not be an expected therapeutic effect. B. "Increased urinary output": Bumetanide is used to treat conditions like ascites by promoting diuresis (increased urine output). This is the expected therapeutic effect, as it helps remove excess fluid from the body. C. "Decreased serum glucose": Bumetanide does not directly affect serum glucose levels. It is primarily used to reduce fluid retention, not to lower blood glucose. D. "Increased blood pressure": Bumetanide typically lowers blood pressure by reducing fluid volume. It is used to treat conditions such as ascites, where fluid accumulation can contribute to high blood pressure, so an increase in blood pressure would not be an expected effect.