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 client should check with their doctor before taking any herbal supplements or remedies, as some of them may interact with warfarin and increase the risk of bleeding or clotting.
A) Incorrect. The client should not avoid eating foods that are high in vitamin K, but rather maintain a consistent intake of them, as vitamin K is an antidote for warfarin and can affect its therapeutic effect.
C) Incorrect. This statement is relevant for preventing bleeding complications while taking warfarin, but it does not indicate an understanding of potential drug interactions.
D) Incorrect. This statement is relevant for monitoring the effects of warfarin on cardiovascular function, but it does not indicate an understanding of potential drug interactions.
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.
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