A nurse is preparing to administer furosemide to a client who has acute heart failure.

Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?

Sodium 136 mEq/L.

Creatinine 0.8 mg/dL.

Potassium.2 mEq/L.

BUN 18 mg/dL.

Answer and Explanation

The Correct Answer is C

Furosemide is a loop diuretic that can cause loss of potassium from the body.
A potassium level of.2 mEq/L is considered low (hypokalemia) and can be a contraindication for receiving the medication.
Sodium 136 mEq/L is within the normal range and is not a contraindication for receiving furosemide.
B) Creatinine 0.8 mg/dL is within the normal range and is not a contraindication for receiving furosemide.
D) BUN 18 mg/dL is within the normal range and is not a contraindication for receiving furosemide.

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Correct Answer is D

Explanation

Monitor the client for adequate urine output.
When administering potassium chloride via IV infusion to a client who has severe hypokalemia, it is important for the nurse to monitor the client’s urine output to ensure that their kidneys are functioning properly and that they are able to excrete excess potassium.
Choice A is incorrect because the infusion site should be checked more frequently than every 4 hours.
Choice B is incorrect because the maximum recommended rate of infusion for potassium chloride is 10 mEq/hr.
Choice C is incorrect because Chvostek’s sign is used to assess for hypocalcemia, not hypokalemia.

A. Implement airborne precautions. B. Determine the client's blood type. C. Institute bleeding precautions. D. Avoid administering IV pain medication.

Correct Answer is C

Explanation

The nurse should institute bleeding precautions for the client.

Petechiae are small red or purple spots on the skin caused by broken capillaries, which can be a sign of low platelet count (thrombocytopenia) and an increased risk of bleeding.
Bleeding precautions include measures such as using a soft-bristled toothbrush, avoiding injections, and avoiding activities that could result in injury.
Choice A is incorrect because airborne precautions are used to prevent the spread of infectious diseases that are transmitted through the air, and are not necessary in this situation.
Choice B is incorrect because determining the client’s blood type is not necessary in this situation.
Choice D is incorrect because avoiding IV pain medication is not necessary in this situation; however, the nurse should monitor the client for signs of bleeding and bruising.

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A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer furosemide to a client who has acute heart failure.

Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?