Turner, 50-year-old journalist with acute heart failure, is receiving digoxin and furosemide. What is the best indicator that this regimen is effective in removing excess fluid?
A)Decreased weight
B)Therapeutic digoxin level
C)Decreased swelling in the ankles
D)Pulse rate decreases to 84

Question

Quizplus · Accepted Answer

Daily weight more rapidly reflects changes in fluid status. Choice B is incorrect because effectiveness of any therapy requires that the client be clinically assessed, in addition to reviewing lab values. Choice C is incorrect because swelling may take some time to dissipate even after the client's vascular volume is stabilized. Choice D is incorrect because decreased pulse rate may occur for several reasons, not necessarily because the heart failure is being managed effectively.

Turner, 50-Year-Old Journalist with Acute Heart Failure, Is Receiving Digoxin