Cardiac Question #5


The nurse is caring for a client who has right-sided heart failure, and is scheduled to receive the second dose of bumetanide (Bumex). Prior to administration of the drug, assessment of the client reveals a marked decrease from 4+ to 1+ ankle edema, neck distention is less than earlier, and the client lost 3 pounds in 24 hours. What action should the nurse take?


  1. Hold the bumetanide
    • Rationale:
  2. Give the bumetanide early
    • Rationale:
  3. Notify the physician
    • Rationale:
  4. Give the scheduled dose
    • Rationale:



The nurse should give the medication as prescribed since the desired effect is to reduce ankle edema and prevent it from occurring. There is no reason to hold the medication, give it early, or to notify the HCP.

Learning Outcomes

Test Taking Tip

Video Rationale