Which client statement regarding furosemide use requires follow-up by the nurse?

The statement regarding furosemide use that necessitates follow-up by the nurse is the one mentioning nausea and vomiting. Furosemide is a loop diuretic commonly used to treat conditions such as hypertension and edema. While increased urination can be an expected effect of this medication, nausea and vomiting are not typical side effects and can indicate more serious complications.

The presence of nausea and vomiting may suggest that the client is experiencing an electrolyte imbalance or dehydration, both of which can occur with the use of furosemide due to its diuretic effects. Additionally, persistent nausea and vomiting could lead to further health concerns, such as poor nutritional intake or renal complications, which the nurse should address promptly.

In contrast, the other statements do reflect effects that can be attributed to furosemide. Increased urination is a known and expected outcome of diuretic therapy, and changes in pulse can occur; however, a shift from 65 to 59 may not be clinically significant in isolation. Headaches and night sweats, while not typical side effects, could be linked to a range of factors that may not require immediate intervention. Therefore, the statement regarding nausea and vomiting signals a potential adverse reaction that requires the nurse's intervention to ensure