Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the furosemide administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.

Client is awake and following commands: Unrelated: This finding indicates the client's level of consciousness and responsiveness, which is not directly related to the effects of furosemide. While improving fluid status can contribute to overall well-being, this finding can be influenced by various factors unrelated to the medication. Blood pressure 122/85 mm Hg: Therapeutic: The decrease in blood pressure indicates a positive therapeutic effect of furosemide, which is a diuretic used to reduce fluid overload and lower blood pressure in patients with heart failure. The improvement from 142/99 mm Hg to 122/85 mm Hg suggests successful fluid management. Prothrombin time/international normalized ratio: Unrelated: This laboratory finding does not directly correlate with the administration of furosemide. It is more relevant to the patient’s anticoagulation therapy (warfarin) and is monitored separately from diuretic therapy. Potassium 3.1 mEq/L: Non-therapeutic: This finding represents a non-therapeutic side effect of furosemide. Furosemide can cause hypokalemia (low potassium levels) due to increased urinary potassium excretion. A potassium level of 3.1 mEq/L is concerning and requires monitoring and possible potassium supplementation. Clear breath sounds: Therapeutic: The presence of clear breath sounds indicates improved lung function and resolution of pulmonary congestion, which is a therapeutic outcome of effective diuretic therapy like furosemide. The reduction in edema and fluid overload can lead to better oxygenation and breathing efficiency.