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    Pharmacology proctored exam (regular)

    The nurse is providing education to a 72-year-old client who has been discharged home on a diuretic. What should the nurse include in the discharge instructions?

    Explanation & Rationale

    A. Measuring intake and output of urine: While monitoring intake and output may be useful, it is not the primary focus for clients taking a diuretic at home. The key focus for clients on diuretics is tracking weight, which is a better indicator of fluid retention. B. How to properly weigh at home: Weighing oneself daily at the same time is crucial for clients on diuretics. This helps detect fluid retention or loss, which is important for monitoring the effectiveness of the diuretic and preventing complications like dehydration or fluid overload. C. To restrict fluids to 500 mL/day: Fluid restriction is generally not necessary for most clients on diuretics unless specifically prescribed by a healthcare provider. For most clients, the goal is to maintain hydration, and excessive fluid restriction could lead to dehydration. D. Ways to decrease exercise to conserve energy: Exercise is important for overall health, including cardiovascular and renal health. Encouraging appropriate physical activity is more beneficial than restricting it.

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