A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide for diuresis. For which of the following results should the nurse notify the provider?
Potassium 2.3 mEq/L (3.5-5)
Magnesium 14 mEq/L (1.3-2.1)
Carcum to mg/dL (9.9-10.5)
Sodium 136 mEq/L (136-145)
The Correct Answer is A
A. Potassium 2.3 mEq/L (3.5-5.0): This is a severely low potassium level (hypokalemia), which can cause dangerous arrhythmias, especially in a client with heart failure. Bumetanide is a loop diuretic, which can deplete potassium levels.
B. Magnesium 1.4 mEq/L (1.3-2.1): Although the magnesium level is on the lower end of normal, it is not a critical value, and the primary concern here is the potassium level.
C. Calcium 10 mg/dL (9.9-10.5): This is a normal calcium level, so there is no need to notify the provider based on this result.
D. Sodium 136 mEq/L (136-145): This is a normal sodium level, so it would not warrant notifying the provider. The critical concern is the hypokalemia.
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Related Questions
Correct Answer is C
Explanation
A. Anemia: Anemia is not a common adverse effect associated with atenolol. Atenolol primarily affects the cardiovascular system by lowering heart rate and blood pressure.
B. Neutropenia: Neutropenia, is not typically associated with atenolol.
C. Bradycardia: Bradycardia is a common adverse effect of beta-blockers like atenolol, as they work by slowing down the heart rate and reducing myocardial oxygen demand.
D. Hypokalemia: Atenolol is not known to cause hypokalemia. Diuretics are more commonly associated with this electrolyte imbalance.
Correct Answer is A
Explanation
A. "Warfarin helps prevent strokes in clients who have atrial fibrillation." Atrial fibrillation increases the risk of blood clots forming in the atria, which can travel to the brain and cause a stroke. Warfarin helps reduce this risk by thinning the blood and preventing clot formation.
B. "This medication will help maintain a normal heart rhythm." Warfarin is an anticoagulant and does not affect heart rhythm. Medications like beta-blockers or antiarrhythmics are used to control rhythm.
C. "Warfarin dissolves clots in the bloodstream." Warfarin prevents new clots from forming and existing clots from growing, but it does not dissolve clots. Clot-dissolving medications, like thrombolytics, are used to dissolve clots.
D. "This medication slows the response of the ventricles to the fast-atrial impulses." Warfarin is not used to control ventricular response. Medications like beta-blockers or calcium channel blockers are used to slow the heart rate.
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