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

Answer and Explanation

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.

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Correct Answer is B

Explanation

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

A. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, aspirate, and observe for bleeding, B. Cleanse the skin with an alcohol swab, insert the needle, aspirate, and inject the heparin. C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding. D. Cleanse the skin with an alcohol swab, insert the needle, aspirate. inject the heparin. and massage the site.

Correct Answer is C

Explanation

- Administration of subcutaneous heparin follows the following steps

Wipe the chosen area with alcohol and avoid rubbing
Remove the cap from needle
Gently pinch a fold of skin
Insert the needle at 45 to 90 degrees
Push down the drug into the tissue
Draw the needle out slowly at the same angle
Apply a cotton ball light for 1-2 minutes
Monitor for bleeding

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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?

Nursing Test Bank

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