A nurse is reinforcing teaching with the parent of an infant who is receiving furosemide. The nurse should reinforce with the parent that which of the following laboratory tests will be monitored while the infant is receiving this medication?
Potassium
WBC count
Iron
Amylase
The Correct Answer is A
A. Potassium: Furosemide is a loop diuretic that increases renal excretion of sodium, chloride, and water, which can lead to significant potassium loss. Monitoring serum potassium levels is essential to prevent hypokalemia, which can cause muscle weakness, arrhythmias, and cardiac complications, especially in infants who are more vulnerable to electrolyte imbalances.
B. WBC count: Furosemide does not typically affect white blood cell production or immune function. Monitoring WBC count is not indicated solely for furosemide therapy unless the infant has another condition that requires hematologic surveillance.
C. Iron: Furosemide does not interfere with iron metabolism or absorption. Iron studies are unrelated to diuretic therapy and are not required unless the infant has known anemia or is receiving iron supplementation for another reason.
D. Amylase: Amylase is a pancreatic enzyme monitored in cases of pancreatic disorders or suspected pancreatitis. Furosemide therapy does not directly affect pancreatic function, so amylase measurement is not indicated as part of routine monitoring for this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Basketball: Basketball is a high-impact, contact sport that involves frequent running, jumping, and potential collisions with other players. Children with hemophilia are at increased risk for joint and soft tissue bleeding from trauma, so participation in basketball is not recommended.
B. Gymnastics: Gymnastics involves tumbling, jumping, and apparatus use, which can lead to falls and injuries. These activities carry a high risk of trauma-induced bleeding for children with hemophilia, making it an unsafe choice.
C. Swimming: Swimming is a low-impact sport that promotes cardiovascular fitness, muscle strength, and joint mobility without significant risk of trauma. Water-based activities are safe for children with hemophilia, providing exercise benefits while minimizing bleeding risk.
D. Golf: Golf is a non-contact, low-impact sport that allows children to participate safely without high risk of injury. It promotes coordination, concentration, and mild physical activity without placing stress on joints or increasing the likelihood of bleeding.
E. Soccer: Soccer is a contact sport with frequent running, collisions, and potential falls, increasing the risk of bleeding in joints and muscles. For children with hemophilia, soccer is generally considered unsafe due to the high potential for injury.
Correct Answer is A
Explanation
A. A 2-month-old infant: The DTaP vaccine series begins at 2 months of age according to the routine immunization schedule. Administering the first dose at this age provides early protection against diphtheria, tetanus, and pertussis, which can be severe in young infants. Subsequent doses are given at 4 months, 6 months, and booster doses at later intervals.
B. A 4-month-old infant: At 4 months, the infant is due for the second DTaP dose, not the initial dose. Administering the vaccine at this age without a prior first dose would be incomplete, as the series is designed to build immunity progressively from 2 months onward.
C. A 6-month-old infant: The 6-month visit typically coincides with the third DTaP dose in the primary series. The initial dose must have been administered at 2 months, making this age inappropriate for starting the series.
D. A 15-month-old toddler: By 15 months, the primary DTaP series should already be completed with a fourth dose administered between 15–18 months. Initiating the series at this age would require catch-up immunization protocols rather than the standard initial vaccination schedule.
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