What is the most consistent order for a client with hypertension prescribed furosemide?

Furosemide is a loop diuretic commonly used to manage hypertension and fluid overload conditions. The choice of option B, which prescribes furosemide at a dosage of 40 mg taken orally twice daily (BID), is particularly significant for several reasons.

First, the dosage of 40 mg is a standard starting dose for managing hypertension effectively. It allows for an appropriate diuretic effect, which is crucial in lowering blood pressure and managing fluid retention without the risk of over-diuresis that can lead to electrolyte imbalances.

Secondly, administering the medication twice daily ensures a more consistent therapeutic level of the drug in the bloodstream, maximizing its antihypertensive effects over the entire day. It also helps in offsetting any potential tolerance that may develop with a single daily dose, as found in other options.

Additionally, giving the medication orally rather than intravenously is often preferred when the patient can tolerate oral medications, making option B a practical and effective choice for outpatient therapy.

Other options do not provide the same level of efficacy and safety for long-term blood pressure management as option B.