A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

Take the prescribed second dose at nighttime.

Limit your fluid intake to no more than 1.5 L a day.

Report any changes in hearing.

Avoid foods high in potassium.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Bumetanide is a diuretic, which means it helps your body get rid of extra water. This can make you urinate more often. Taking the second dose at night could disrupt your sleep.

Choice B rationale

While it’s important to monitor fluid intake when taking a diuretic, there’s no specific requirement to limit fluid intake to 1.5 liters a day. Fluid needs can vary based on individual circumstances.

Choice C rationale

Bumetanide can sometimes cause hearing changes or loss, which is usually reversible once the medication is stopped. Therefore, patients should report any changes in hearing to their healthcare provider.

Choice D rationale

Bumetanide can cause the body to lose potassium, which is an important nutrient for heart function. Therefore, it’s usually recommended to consume foods high in potassium, not avoid them.

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Correct Answer is C

Explanation

Choice A rationale

Streptococcal pharyngitis, also known as strep throat, is a bacterial infection that causes inflammation and pain in the throat. This condition is spread through respiratory droplets, not through the air, and does not require airborne precautions.

Choice B rationale

Scabies is caused by a mite infestation, not an airborne pathogen. It is spread through direct skin-to-skin contact and does not require airborne precautions.

Choice C rationale

Measles is a highly contagious virus that lives in the nose and throat mucus of an infected person. It can spread to others through coughing and sneezing, and the measles virus can live for up to two hours in an airspace where the infected person coughed or sneezed. Therefore, a patient with measles requires airborne precautions.

Choice D rationale

Pertussis, also known as whooping cough, is a highly contagious respiratory disease caused by the bacterium Bordetella pertussis. It spreads through close contact with respiratory droplets when an infected person coughs or sneezes. It is typically managed with droplet precautions, not airborne precautions.

A. Monitor the toddler’s vital signs closely. B. Administer supplemental oxygen. C. Notify the healthcare provider. D. Reassess the toddler in 15 minutes.

Correct Answer is A

Explanation

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A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing guidelines for initiating airborne precautions.Which of the following patients should the nurse identify as requiring airborne precautions?

Correct Answer is C

Explanation

A nurse is caring for a toddler.The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Correct Answer is A

Explanation

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