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 A
Explanation
flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.
B. calcium supplements do not cause hepatitis
C. Calcium supplementation do not cause peptic ulcers
D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain
Correct Answer is B
Explanation
Ibuprofen is a non-selective nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation. It prevents the synthesis of protective prostaglandins in the stomach leading to gastric irritation and ulceration. Taking ibuprofen with food reduces the risk of gastrointestinal irritation.
A. Ibuprofen does not cause weight loss
C. Ear ringing is not an expected side effect and any occurrence of such should be reported
D. Ibuprofen is stable at room temperature and does not require refrigeration
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