ATI n200 Pharmacology Exam | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Withhold the dose and reassess the blood pressure in 30 minutes. The client's low blood pressure (90/60) indicates hypotension, which can be exacerbated by the administration of furosemide, a diuretic that can further decrease blood pressure. Withholding the dose allows the nurse to monitor the client's blood pressure closely and reassess for signs of hypotension before administering the medication. This cautious approach prioritizes the safety of the client by preventing potential complications from administering the medication when the blood pressure is already low.


Choice B is incorrect because administering the medication without addressing the low blood pressure could worsen the client's condition.
Choice C is incorrect as it does not address the existing low blood pressure.
Choice D is incorrect as oral furosemide may not be appropriate for a client with acute pulmonary congestion and fluid overload.

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