A nurse is caring for a client on a medical-surgical unit who has heart failure.
Complete the following sentence by using the lists of options.
The nurse should assess the client
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Option 1: Fluid Volume Status
The client is receiving furosemide, a diuretic, which is likely causing the increase in urine output and potential fluid volume changes. Assessing fluid volume status (such as edema, urine output, and blood pressure) is critical to monitor for dehydration or fluid imbalance.
Option 2: Electrolyte Levels
Furosemide can lead to electrolyte disturbances, particularly hypokalemia (low potassium) and hyponatremia (low sodium). The nurse should monitor electrolyte levels, as these can cause symptoms like numbness, tingling, and dizziness, which the client is experiencing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.
B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.
C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.
D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.
Correct Answer is B
Explanation
A. While furosemide may lower blood pressure, weight loss due to fluid reduction is a more direct indicator of its therapeutic effect.
B. Furosemide promotes diuresis, and weight loss is a sign of decreased fluid retention, indicating effectiveness in treating heart failure.
C. An increased heart rate is not a desired effect and may indicate volume depletion or stress.
D. Distended neck veins indicate fluid overload and would not suggest a therapeutic effect.
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