A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication?

Potassium

WBC

Uric acid level

Hgb

Answer and Explanation

The Correct Answer is A

A. Potassium:
Furosemide is a loop diuretic that can cause hypokalemia, which may lead to arrhythmias. Potassium must be monitored closely.

B. WBC:
Not directly affected by furosemide and not a priority before administration.

C. Uric acid level:
Furosemide can increase uric acid levels, but this is a long-term effect and not an immediate priority.

D. Hgb:
Furosemide does not significantly affect hemoglobin levels. It is not a priority before first dose.

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Correct Answer is D

Explanation

A. Take the medication on an empty stomach: Hydrochlorothiazide can be taken with or without food. Taking it with food can reduce gastrointestinal upset, so this is not necessary advice.

B. Take the medication at bedtime: Hydrochlorothiazide is a diuretic, and taking it at bedtime may cause nocturia (frequent nighttime urination), which can disturb sleep.

C. Muscle weakness is an expected adverse effect: Muscle weakness is not an expected effect but can be a sign of hypokalemia, a possible adverse effect due to potassium loss.

D. Increase daily intake of foods high in potassium: Thiazide diuretics like hydrochlorothiazide can cause hypokalemia, so clients are encouraged to eat potassium-rich foods (e.g., bananas, oranges, spinach).

A. "Fresh fruits are good to include with meals." B. "I will replace table salt with dried herbs." C. "I can have a cola drink twice a day." D. "I can eat frozen juice bars for a snack."

Correct Answer is C

Explanation

A. "Fresh fruits are good to include with meals.":
Fresh fruits are low in sodium and high in potassium and fiber, making them appropriate for a heart-healthy diet.

B. "I will replace table salt with dried herbs.":
This is a positive change that helps reduce sodium intake.

C. "I can have a cola drink twice a day.":
Colas are often high in sodium, sugar, and caffeine, which are not recommended for clients with hypertension.

D. "I can eat frozen juice bars for a snack.":
Frozen juice bars (especially those made from 100% juice) are generally acceptable in moderation as they are low in fat and sodium.

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A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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