A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?
Cortisol
Albumin
Potassium
Bicarbonate
The Correct Answer is C
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A, B, D- furosemide has no effect on cortisol, albumin and bicarbonate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Gentamicin is a nephrotoxic and ototoxic antibiotic. It I important to have its serum levels should be closely monitored to ensure they are within the therapeutic window
A- Gentamicin is an intravenous formulation and its administration is not related to meals
C- Limiting fluid intake increases the risk of renal injury
D- Agitation is not a common side effect with gentamicin use
Correct Answer is D
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A. furosemide does not affect the blood glucose levels
B. furosemide is used to lower blood pressure by reducing venous return.
C. furosemide reduces fluid load by blocking water reabsorption in the kidney
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