A client with congestive heart failure is prescribed a loop diuretic. The nurse should closely monitor the client for which electrolyte imbalance associated with this medication?
Hyponatremia
Hypocalcemia
Hyperkalemia
Hypokalemia
The Correct Answer is D
A) This choice is incorrect because loop diuretics can lead to increased sodium excretion, potentially causing hypernatremia (high sodium levels) rather than hyponatremia (low sodium levels).
B) This choice is incorrect because loop diuretics do not typically cause hypocalcemia (low calcium levels). They primarily affect sodium, potassium, and water excretion.
C) This choice is incorrect because loop diuretics are more likely to cause hypokalemia (low potassium levels) rather than hyperkalemia (high potassium levels). Loop diuretics can increase potassium excretion, leading to a potential deficiency.
D) This choice is correct. Loop diuretics are potent potassium-wasting diuretics, meaning they increase potassium excretion in the urine, potentially causing hypokalemia. The nurse should closely monitor the client's potassium levels and provide potassium supplementation if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because taking digoxin with a high-fat meal is not necessary. Digoxin can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.
B) This choice is incorrect because skipping a dose of digoxin can lead to suboptimal medication levels and reduced effectiveness. If the client experiences nausea or vomiting, they should contact their healthcare provider for guidance.
C) This choice is correct. Digoxin is used to treat congestive heart failure and other cardiac conditions. It is crucial for clients to monitor their blood pressure regularly, especially if their healthcare provider has instructed them to adjust the medication dose based on their blood pressure readings.
D) This choice is incorrect because while avoiding certain over-the-counter medications is essential while on digoxin due to potential drug interactions, it is not the primary instruction for the client. The client should discuss any new medications, including over-the-counter drugs, with their healthcare provider to ensure they are safe to take with digoxin.
Correct Answer is C
Explanation
A) This choice is incorrect because serum sodium levels are not directly impacted by digoxin. However, electrolyte imbalances, including hypokalemia, can potentiate digoxin toxicity, so potassium levels should be monitored.
B) This choice is incorrect because while digoxin can impact liver function, it is not the primary parameter to be monitored. Liver function tests may be performed periodically to assess liver health during digoxin therapy.
C) This choice is correct. Digoxin is a cardiac glycoside that can impact renal function. Monitoring urine output is essential to assess kidney function and the client's response to the medication.
D) This choice is incorrect because blood glucose levels are not specifically impacted by digoxin. However, hypokalemia resulting from digoxin therapy can cause alterations in glucose metabolism, so blood glucose levels should be monitored in clients taking digoxin.
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