A client with congestive heart failure is prescribed furosemide, a loop diuretic. The nurse should monitor the client for which potential adverse effect of this medication?
Bradycardia
Hypokalemia
Hypertension
Hyperglycemia
The Correct Answer is B
A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.
B) This choice is correct. Furosemide is a loop diuretic that can lead to increased potassium excretion in the urine, potentially causing hypokalemia (low potassium levels). The nurse should closely monitor the client's potassium levels and provide potassium supplementation if necessary.
C) This choice is incorrect because hypertension (high blood pressure) is not typically associated with loop diuretics like furosemide. In fact, furosemide is used to treat hypertension and congestive heart failure by promoting the excretion of excess fluid and reducing blood pressure.
D) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
A) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.
B) This choice is incorrect because fluid restriction should not be limited to the evening only. Clients with CHF should monitor their fluid intake throughout the day to prevent fluid overload.
C) This choice is incorrect because drinking fluids primarily with meals may not be sufficient for managing fluid intake. Fluid intake should be balanced throughout the day to avoid excessive fluid retention.
D) This choice is correct. Monitoring daily weights is an essential strategy for clients with congestive heart failure to manage fluid balance. Sudden weight gain can indicate fluid retention, a common symptom of CHF. Clients should be instructed to report any significant weight changes to their healthcare provider promptly.
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