A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
BUN 15 mg/dL
Potassium 3.8 mEq/L
The client reports dizziness upon standing.
The client reports difficulty hearing.
The Correct Answer is C
Choice A rationale:
A BUN level of 15 mg/dL is within a normal range.
Choice B rationale:
A potassium level of 3.8 mEq/L is within a normal range.
Choice C rationale:
Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.
Choice D rationale:
Difficulty hearing is not typically associated with furosemide administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
The correct answer is 7.5 ML
To answer this question, we need to use the formula:
mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:
mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:
mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:
mL to administer = 14.95 mL/day
Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:
mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:
mL to administer per dose = 7.475 mL
Rounding to the nearest tenth, we get:
mL to administer per dose = 7.5 mL
Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.
Correct Answer is B
Explanation
Choice A rationale:
While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.
Choice B rationale:
In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.
Choice C rationale:
Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.
Choice D rationale:
Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.
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