Question

An older adult patient has been discharged following treatment for a mild case of heart failure. He will be taking a loop diuretic. Which instruction(s) from the nurse are appropriate? select all that apply

a. "Take the diuretic at the same time each morning."
b. "Take the diuretic only if you notice swelling in your feet."
c. "Be sure to stand up slowly because the medicine may make you feel dizzy if you stand up quickly."
d. "Drink at least 8 classes of water each day."
e. "Here is a list of foods that are high in potassium; you need to avoid."
f. "Please call your doctor immediately if you notice muscle weakness or increased dizziness."

Answer 1

Educational instructions for an older adult patient taking a loop diuretic should include taking the medicine at the same time each morning, standing up slowly to prevent dizziness, and contacting a doctor if experiencing muscle weakness or increased dizziness. Not all typical health recommendations apply since loop diuretics affect electrolyte and fluid balance differently.

Step-by-step explanation:

When instructing a patient on the use of a loop diuretic post-treatment for heart failure, several crucial points should be included in the education:

• "Take the diuretic at the same time each morning." Consistency in medication times helps maintain therapeutic drug levels and manage symptoms effectively.
• "Be sure to stand up slowly because the medicine may make you feel dizzy if you stand up quickly." Due to the blood pressure-lowering effects of diuretics, orthostatic hypotension can occur, causing dizziness on swift standing.
• "Please call your doctor immediately if you notice muscle weakness or increased dizziness." These symptoms can indicate electrolyte imbalances like hypokalemia, which can be a side effect of loop diuretics.

Patients should not take the diuretic only when swelling is noticed, as regular dosage is necessary to manage their condition. They should not avoid high-potassium foods, as loop diuretics can deplete potassium and such foods may actually need to be included in the diet. The recommendation to drink at least 8 glasses of water daily is typically not advised for patients on diuretics, as the medication is meant to manage fluid levels, and fluid intake should be adjusted based on individual needs and medical advice.