A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?
Increased blood pressure
Hearing loss
Ankle edema
Decreased blood sugar
The Correct Answer is B
B. Hearing loss can indeed be an adverse effect associated with furosemide use, especially when high doses are administered rapidly intravenously or when the medication is used long-term. This occurs due to furosemide's potential to cause ototoxicity, affecting the inner ear and leading to hearing impairment.
A. Furosemide is not known to increase blood pressure. In fact, it typically helps reduce blood pressure by reducing fluid volume through its diuretic action. Therefore, increased blood pressure would not be an adverse effect of furosemide.
C Ankle edema is not typically an adverse effect of furosemide. In fact, furosemide is used to treat edema by reducing fluid retention, so the presence of ankle edema would indicate inadequate response to the medication or progression of the underlying condition.
D. Furosemide is not known to cause decreased blood sugar levels. Instead, it can cause electrolyte imbalances such as hypokalemia (low potassium levels), which might manifest with symptoms similar to hypoglycemia but does not directly lower blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. PN solutions are highly concentrated and can cause phlebitis if administered through peripheral veins. A central line (e.g., central venous catheter) provides a larger, more durable access point for administering TPN safely and effectively.
A. TPN solutions typically include glucose to meet the body's energy needs. Regular monitoring of blood sugar levels helps to prevent hyperglycemia or hypoglycemia, which are potential complications of TPN administration. However, the monitoring should be more frequent.
B. Weight monitoring helps evaluate fluid status, nutritional adequacy, and overall response to TPN therapy. Changes in weight can indicate fluid retention or loss and guide adjustments in the TPN formula. It should be done daily.
D. TPN can affect fluid balance, and monitoring I&O allows healthcare providers to detect fluid retention or deficit early. It helps ensure that the client's fluid status remains stable during TPN administration.
The monitoring should be done everyday.
Correct Answer is B
Explanation
B. Hyponatremia, or low sodium levels, is a known potential side effect of lithium use, especially when factors like increased sweating and fluid loss from exercise are present.
A. Lithium can cause renal effects, including polyuria and potassium wasting. Exercising can also lead to potassium loss through sweating. However, this is not common.
C. Lithium does not directly affect calcium levels. Exercise is not typically associated with significant calcium losses unless the client is also experiencing excessive sweating.
D. Lithium is not commonly associated with changes in magnesium levels.
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