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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sodium polystyrene sulfonate should not be taken with sorbitol due to the risk of severe diarrhea and gastrointestinal complications.
B. Antacids can interfere with the effectiveness of sodium polystyrene sulfonate, as they alter gastrointestinal motility and affect potassium binding.
C. Monitoring electrolytes is essential because sodium polystyrene sulfonate can lead to electrolyte imbalances, particularly hypokalemia.
D. Sodium polystyrene sulfonate is administered orally or rectally, not intravenously.
Correct Answer is B
Explanation
A. Rectus femoris is not commonly used for IM injections in infants due to its proximity to large blood vessels and nerves.
B. The vastus lateralis is the preferred site for IM injections in infants as it is well-developed and away from major blood vessels and nerves.
C. The deltoid is not used for IM injections in infants due to its underdevelopment and small size.
D. The dorsogluteal site is avoided in infants due to the risk of injury to the sciatic nerve.
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