A client reports, “I have not had a bowel movement in 4 days and I have vomited once or twice.”. Given the client’s cardiovascular and gastrointestinal status, and social history, what should the nurse plan to do first?

The nurse should clarify the prescription for Furosemide due to the client’s 2. Potassium level. The client’s potassium level is 3.2 mEq/L, which is below the normal range of 3.5 to 5 mEq/L. This could indicate hypokalemia, a condition that can cause weakness, fatigue, and heart rhythm problems. Therefore, it would be important for the nurse to clarify the prescription for potassium chloride, which is a medication used to treat or prevent low potassium levels. Please note that this is an assessment based on the information provided

Furosemide, also known as a loop diuretic, works by inhibiting the Na+/K+/2Cl- cotransporter in the ascending thick loop of Henle in the kidneys1. This part of the kidney is responsible for reabsorbing sodium, chloride, and potassium from the urine back into the body1.

When Furosemide inhibits this process, it leads to an increase in the amount of these electrolytes in the urine, which in turn leads to their decreased levels in the body1. This is why Furosemide can cause a decrease in potassium levels in the body, a condition known as hypokalemia23.

It’s important to note that while Furosemide helps in relieving the body of excess fluid, its use may lead to the depletion of certain electrolytes in the body, such as potassium3. Therefore, if you are taking Furosemide, your doctor may need to monitor your potassium levels or have you consume more potassium4.

Choice A rationale

Bathing in a tub until the catheter is removed is not recommended after a transurethral resection of the prostate (TURP). This could increase the risk of infection.

Choice B rationale

Taking ibuprofen for discomfort is not typically recommended after TURP. Ibuprofen can increase the risk of bleeding.

Choice C rationale

Waiting 6 weeks before resuming sexual intercourse is a standard recommendation after TURP. This allows the body time to heal.

Choice D rationale

Driving after 1 week is not typically recommended after TURP. Patients are usually advised to avoid driving until they are free of pain and can move quickly and safely.