A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication?

Shortness of breath.

Lightheadedness.

Dry cough.

Bitter taste in the mouth.

Answer and Explanation

The Correct Answer is B

Choice A reason: Shortness of breath is a heart failure symptom, not a furosemide side effect, which causes diuresis. Lightheadedness from hypotension is common, making this incorrect, as it confuses disease symptoms with medication effects in the nurse’s monitoring plan for furosemide.

Choice B reason: Lightheadedness is a common furosemide adverse effect due to hypotension or electrolyte imbalances from diuresis. This aligns with pharmacological monitoring for heart failure treatment, making it the correct effect the nurse should plan to monitor in the client.

Choice C reason: Dry cough is associated with ACE inhibitors, not furosemide, a diuretic causing hypotension. Lightheadedness is a furosemide effect, making this incorrect, as it misattributes a side effect to the wrong medication in the nurse’s monitoring for heart failure treatment.

Choice D reason: Bitter taste is not a typical furosemide side effect; it’s more linked to medications like antibiotics. Lightheadedness is relevant, making this incorrect, as it does not reflect the expected adverse effects the nurse should monitor with furosemide administration.

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Correct Answer is A

Explanation

Choice A reason: Hypercalcemia shortens the QT interval on ECG due to accelerated cardiac repolarization. This aligns with electrolyte-related cardiac monitoring, making it the correct change the nurse would recognize as indicating possible hypercalcemia in the client’s electrocardiography assessment.

Choice B reason: Inverted T waves suggest ischemia or hypokalemia, not hypercalcemia, which shortens the QT interval. This is incorrect, as it doesn’t align with the nurse’s expected ECG change for hypercalcemia compared to the characteristic shortened QT interval.

Choice C reason: Prominent U waves are associated with hypokalemia, not hypercalcemia, which affects the QT interval. Shortened QT is correct, making this incorrect, as it’s unrelated to the nurse’s monitoring for hypercalcemia’s ECG changes in the client.

Choice D reason: Absent P waves indicate atrial fibrillation, not hypercalcemia, which shortens the QT interval. This is incorrect, as it doesn’t reflect the nurse’s anticipated ECG change for hypercalcemia, unlike the characteristic shortened QT interval in the client’s monitoring.

A. Failure to analyze the level of care needed by the patient. B. Failure to respect the patient’s wishes. C. Wrongful death. D. Failure to take appropriate action.

Correct Answer is D

Explanation

Choice A reason: Analyzing care levels is important, but the nurse’s negligence lies in not addressing the critical magnesium level. Reporting to the practitioner is the appropriate action, making this incorrect, as it’s less specific than the failure to act on a critical lab result.

Choice B reason: Respecting patient wishes relates to DNR but doesn’t negate the need to report critical labs for non-resuscitative care. Failure to act is the issue, making this incorrect, as it misapplies the DNR to the nurse’s duty to address the magnesium level.

Choice C reason: Wrongful death assumes patient harm or death, which isn’t indicated here. Failure to act on the critical magnesium level is the negligence, making this incorrect, as it overstates the outcome compared to the nurse’s inaction on the lab result.

Choice D reason: Failure to take appropriate action, such as reporting a critical magnesium level of 1.1 mEq/L, is negligent, regardless of DNR status. This aligns with nursing standards, making it the correct action the nurse neglected, as critical labs require practitioner notification.

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A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client electrocardiography (ECG) change from baseline will alert the nurse to possible development of hypercalcemia?

Correct Answer is A

Explanation

The laboratory notifies the night nurse that the patient has a critical magnesium level of 1.1 mEq/L. The patient has a do-not-resuscitate order. The nurse does not inform the practitioner because of the patient’s code status. In doing so, the nurse is negligent for which action?

Correct Answer is D

Explanation

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A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication?