A client is prescribed 40 mg of furosemide orally. The furosemide tablets on hand are 20 mg tablets. How many tablets will the nurse administer? (Type only the number in the box.)
The Correct Answer is ["2"]
Dose prescribed: 40 mg
Dose available: 20 mg per tablet
Number of tablets= 40 ÷ 20
= 2 tablets
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. IV fluid bolus of normal saline at 250 ml/hour: Administering a fluid bolus would be detrimental to a client already showing signs of volume overload, such as JVD and peripheral edema. This intervention would exacerbate the heart failure and worsen the client's respiratory distress. Fluid restriction is more likely indicated in this clinical scenario.
B. Furosemide and a calcium channel blocker: Furosemide will address the systemic edema and JVD by promoting diuresis and reducing fluid volume. A calcium channel blocker, such as diltiazem, is standard for rate control in atrial fibrillation to slow the ventricular response. This combination treats both the symptomatic fluid overload and the underlying arrhythmia.
C. Pantoprazole and digoxin: While digoxin can be used for rate control, pantoprazole is a proton pump inhibitor for gastric acid and does not address the client's primary cardiac issues. Digoxin alone would not treat the significant peripheral edema or JVD noted in the assessment. The primary goal is diuresis and rapid rate stabilization.
D. IV potassium and antibiotics: Antibiotics are used for bacterial infections, which are not suggested by the clear lung sounds and lack of fever. Potassium is only replaced if a deficit is confirmed via laboratory testing. These medications do not address the acute needs of a client in heart failure with a rapid heart rate.
Correct Answer is ["B","D"]
Explanation
A. Assess the patient's appetite and thirst: While loop diuretics can cause dehydration, appetite monitoring is not the primary nursing priority for managing loop diuretic therapy. Thirst may occur, but it is a subjective symptom rather than a critical objective indicator of electrolyte imbalance. Clinical focus remains on metabolic and hemodynamic stability.
B. Monitor magnesium levels, as ordered: Loop diuretics inhibit the reabsorption of cations in the thick ascending limb of the loop of Henle. This mechanism leads to increased urinary excretion of magnesium alongside water and sodium. Hypomagnesemia can predispose the client to cardiac arrhythmias and muscle tetany.
C. Assess the client for gastric distress including nausea, vomiting and diarrhea: These gastrointestinal symptoms are not the most common or significant adverse effects of furosemide administration. While they can occur with many medications, they do not reflect the primary pharmacological risks associated with diuretic-induced fluid shifts. Monitoring should prioritize renal function and electrolyte concentrations.
D. Monitor the client's potassium levels as ordered: Furosemide promotes significant potassium wasting by increasing delivery of solutes to the distal tubule. Hypokalemia is a frequent and dangerous complication that can lead to life-threatening cardiac conduction disturbances. Frequent serum monitoring is essential to ensure the safety of the heart failure patient.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
