A nurse is preparing to administer furosemide (Lasix) to a client. Which of the following findings should the nurse hold the medication and notify the provider? (Select All That Apply.).
Urinary output of 80 mL/hour
Urinary output of 12 mL/hour
Blood potassium level of 2.5 mEq/L
Blood potassium level of 2.9 mEq/L
Correct Answer : B,C
A. Urinary output of 80 mL/hour is not concerning and indicates adequate renal function.
B. Urinary output of 12 mL/hour is very low and may indicate renal insufficiency or dehydration, requiring immediate intervention.
C. A blood potassium level of 2.5 mEq/L is critically low and requires discontinuation of the diuretic to prevent life-threatening arrhythmias.
D. A blood potassium level of 2.9 mEq/L is also low and would be concerning, though not as critical as
2.5 mEq/L. It may still necessitate withholding the medication and addressing electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Insulin glargine (Lantus): This is a long-acting insulin, with no pronounced peak and a slow onset, typically around 1-2 hours.
B. Glucagon (Glucagen): This is not an insulin; it's used to treat severe hypoglycemia.
C. Glipizide (Glucotrol): This is an oral medication used to stimulate insulin secretion, not an insulin itself.
D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin with an onset of 15 to 30 minutes.
Correct Answer is C
Explanation
A. Pinpoint pupils, coma, and respiratory depression: These are signs of opioid overdose, not abstinence syndrome.
B. Sedation, fixed pupils, and nausea: This may be associated with opioid overdose, not withdrawal.
C. Fever, hypertension, vomiting, anxiety, and abdominal cramping: These are classic symptoms of abstinence syndrome (withdrawal symptoms) after naloxone administration.
D. Hyperventilation, depression, and constipation: These are not typical signs of abstinence syndrome.
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