A nurse is preparing to administer medications to a female client.
The nurse has reviewed the client’s medical record. Based on the findings, complete the following sentence by using the list of options.
The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Rationale
Furosemide is a loop diuretic that promotes the excretion of potassium, which can lead to hypokalemia. The client’s potassium level on Day 2 is 2.8 mEq/L, which is significantly below the normal range of 3.5 to 5 mEq/L. Administering furosemide without addressing this hypokalemia could worsen the potassium deficiency, increasing the risk of complications such as arrhythmias.
Potassium chloride is prescribed to help replenish potassium levels, but the current dose may not be sufficient to counteract the effects of furosemide. Therefore, the nurse should clarify the prescription for furosemide to prevent further potassium depletion.
Sodium, BUN, and fasting blood glucose levels are within normal ranges and do not necessitate clarification of the furosemide prescription. Other medications on the client’s list do not directly exacerbate the low potassium levels, making furosemide the medication of concern in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Exhaling slowly through pursed lips is a technique often used in conditions like chronic obstructive pulmonary disease (COPD) to prevent air trapping, but it is not a required step when using an incentive spirometer. The primary focus should be on deep inhalation to expand the lungs fully.
B. Positioning the mouthpiece 2.5 cm (1 in) from the mouth is incorrect. The mouthpiece should be placed securely in the mouth, ensuring a tight seal to create the necessary pressure for the spirometer to function properly.
C. Holding the breath for 3 to 5 seconds before exhaling is the correct instruction. This pause helps to allow the lungs to expand fully and ensures maximum inhalation, which is the goal of using the incentive spirometer.
D. Placing hands on the upper abdomen during inhalation is not necessary for using an incentive spirometer. The focus should be on deep, slow inhalations, and while some people may naturally place hands on their abdomen to help monitor their breathing, it is not a required step in the process.
Correct Answer is D
Explanation
A. Neurogenic bladder refers to bladder dysfunction due to nerve damage and is not related to the positioning of the urinary catheter or IV tubing.
B. Skin breakdown could be a concern with immobility or moisture around the catheter site, but the primary risk from the kinked tubing and improper catheter bag positioning is infection, not skin breakdown.
C. Phlebitis is inflammation of the vein, typically caused by an IV site issue, but this is not related to the urinary catheter or tubing.
D. Infection is the primary concern when the urinary catheter is not properly positioned. A kinked IV tubing can cause pressure and backflow, and if the catheter bag is not positioned below the bladder, it can increase the risk of urinary tract infections (UTIs). Proper positioning and drainage of the catheter are essential to prevent infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.