A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?

Rationale: A. Decreased inflammation: Furosemide is a loop diuretic that reduces fluid volume by promoting diuresis. While reducing edema may decrease swelling, “decreased inflammation” is not the primary measure of effectiveness for furosemide, as inflammation involves cellular processes rather than fluid removal. B. Increased blood pressure: Furosemide typically lowers blood pressure by reducing circulating fluid volume. An increase in blood pressure would suggest the medication is not effective or another underlying issue is present, so this is not an expected finding. C. Decreased pain: Pain reduction may occur indirectly if edema is relieved, but it is not a direct indicator of furosemide’s effectiveness. Pain levels are subjective and can be influenced by multiple factors, making this a less reliable measure. D. Weight loss: A reduction in body weight reflects fluid loss, which is the primary therapeutic effect of furosemide. Monitoring daily weights is a standard and objective way to evaluate the effectiveness of diuretic therapy in clients with fluid volume excess.