A nurse is caring for a child with a congenital heart disease who is prescribed furosemide (Lasix). What is the nurse's priority action before administering this medication?
Assessing the child's respiratory rate.
Checking the child's blood pressure.
Monitoring the child's electrolyte levels.
Determining the child's weight.
The Correct Answer is A
A) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.
B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.
C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.
D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct answer. Gestational diabetes is associated with an increased risk of congenital heart diseases in the baby. Poorly controlled diabetes during pregnancy can affect fetal development and increase the likelihood of birth defects, including heart defects.
B) This option is incorrect. While preeclampsia is a serious pregnancy complication, it is not specifically linked to an increased risk of congenital heart diseases.
C) This option is incorrect. Hyperthyroidism, an overactive thyroid gland during pregnancy, may pose risks to both the mother and baby, but it is not directly associated with congenital heart diseases.
D) This option is incorrect. Iron deficiency anemia can affect maternal and fetal health, but it is not considered a risk factor for congenital heart diseases.
Correct Answer is C
Explanation
A) This option is incorrect. Infants with congenital heart diseases may have feeding difficulties due to fatigue and inadequate oxygenation, which can affect their appetite and feeding patterns.
B) This option is incorrect. Feeding difficulties in infants with heart defects are common due to their increased energy expenditure and compromised cardiovascular function. These difficulties may require appropriate interventions and ongoing support.
C) Correct answer. Many infants with congenital heart diseases experience fatigue and increased energy expenditure due to their heart's extra workload. This can lead to feeding difficulties, inadequate weight gain, and slower growth.
D) This option is incorrect. Congenital heart diseases can significantly impact feeding patterns in infants, and special attention is required to support their nutritional needs.
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