A nurse is caring for a client who has a history of chronic kidney disease and is prescribed furosemide. Which of the following laboratory values should the nurse monitor closely while the client is taking this medication?
Serum creatinine
Serum potassium
Serum calcium
Serum albumin
The Correct Answer is B
B) Correct. The nurse should monitor serum potassium closely while the client is taking furosemide, as this medication is a loop diuretic that can cause hypokalemia or low potassium levels, which can lead to cardiac arrhythmias or muscle weakness.
A) Incorrect. Although serum creatinine is an indicator of kidney function, it is not directly affected by furosemide, as this medication does not cause nephrotoxicity or damage to the kidneys.
C) Incorrect. Although serum calcium is an electrolyte that can affect neuromuscular function, it is not directly affected by furosemide, as this medication does not cause hypocalcemia or low calcium levels.
D) Incorrect. Although serum albumin is a protein that can affect fluid balance, it is not directly affected by furosemide, as this medication does not cause hypoalbuminemia or low albumin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B) Correct. The nurse should instruct the client to take ibuprofen with food or milk to prevent gastric irritation, as ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal bleeding or ulcers.
A) Incorrect. Although this is a good advice, it is not the priority action for the nurse to take, as alcohol does not directly interact with ibuprofen.
C) Incorrect. The nurse should not suggest the client to switch to another medication without consulting their provider, as acetaminophen has its own risks and contraindications, such as liver toxicity.
D) Incorrect. The nurse should not tell the client to stop taking ibuprofen abruptly without consulting their provider, as this may worsen their pain and inflammation.
Correct Answer is B
Explanation
B) Correct. The nurse should ask about any over-the-counter medications or supplements that the client is taking, as they may interact with the prescribed antihypertensive medications or affect blood pressure control.
A) Incorrect. This question is relevant for monitoring blood pressure, but not for assessing adherence to the prescribed therapy.
C) Incorrect. This question is relevant for evaluating the client's knowledge of their medications, but not for assessing adherence to the prescribed therapy.
D) Incorrect. This question is relevant for ensuring proper medication safety, but not for assessing adherence to the prescribed therapy.
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