What condition should a nurse specifically assess for in a client receiving furosemide?

When a client is receiving furosemide, it is crucial for the nurse to assess for hypotension. Furosemide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle in the kidneys, leading to increased urine production. This diuresis can result in a significant decrease in blood volume, which may subsequently cause a drop in blood pressure, manifesting as hypotension.

Monitoring for hypotension is essential because it can lead to symptoms such as dizziness, lightheadedness, or fainting, especially when the client stands up quickly. Educating the client about the signs of low blood pressure and ensuring adequate hydration (within medical guidelines) are important nursing interventions. Given that furosemide can also lead to electrolyte imbalances and dehydration, vigilance in assessing vital signs, including blood pressure, is critical to safely managing a patient on this medication.

While dehydration and electrolyte imbalances like hyperkalemia and bradycardia are relevant considerations when managing patients receiving diuretic therapy, the immediate assessment related to the diuretic's effect on blood volume and pressure makes hypotension the priority focus in this scenario.