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

Answer and Explanation

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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Correct Answer is D

Explanation

A) This choice is incorrect because while electrolyte imbalances can have cardiovascular implications, they are not directly associated with diabetes mellitus or congestive heart failure.

B) This choice is incorrect because left-sided heart failure is not directly related to uncontrolled diabetes mellitus. However, diabetes can exacerbate heart failure if not well-controlled due to its impact on blood vessels and the heart.

C) This choice is incorrect because decreased afterload is not directly related to uncontrolled diabetes mellitus. Afterload refers to the resistance the heart has to overcome to eject blood into the circulation.

D) This choice is correct. Uncontrolled diabetes mellitus can lead to microvascular damage, particularly in the small blood vessels of the heart. This damage can contribute to heart muscle dysfunction and congestive heart failure. Diabetes is a significant risk factor for developing heart failure.

Questions

A. Liver function. B. Serum sodium levels. C. Urine output. D. Blood glucose levels.

Correct Answer is C

Explanation

A) 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.

B) 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.

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.

Questions

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's medical history and notes a diagnosis of uncontrolled diabetes mellitus. The nurse recognizes this as a significant risk factor for congestive heart failure due to its association with:

Correct Answer is D

Explanation

A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's:

Correct Answer is C

Explanation

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