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)

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Shortness of breath while lying down: Orthopnoea is a common symptom of left-sided heart failure due to pulmonary congestion.

B. Pitting edema of the lower legs: Pitting edema is more commonly associated with right-sided heart failure, which leads to systemic venous congestion.

C. Right upper quadrant pain: Right upper quadrant pain is often associated with right-sided heart failure due to hepatic congestion, not left-sided heart failure.

D. Jugular venous distention: Jugular venous distention is a sign of right-sided heart failure, where there is systemic venous congestion.

A. Headache B. Cough C. Elevated Blood Pressure D. Bradycardia

Correct Answer is D

Explanation

A. Headache: Headaches are not a common adverse effect of atenolol, a beta-blocker, though they can occur in some individuals. They are more frequently associated with other medications.

B. Cough: A persistent cough is usually associated with ACE inhibitors, not beta-blockers like atenolol.

C. Elevated Blood Pressure: Atenolol is an antihypertensive medication. Its purpose is to lower blood pressure, so elevated blood pressure would indicate therapy failure, not an adverse effect.

D. Bradycardia: Atenolol, a beta-blocker, slows down the heart rate and can lead to bradycardia (a heart rate that is too slow), which is a common adverse effect to monitor for.

View Question and Answer

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

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

Correct Answer is D

Explanation

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?

A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question due potential risk/harm to patient?

A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?

A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?

A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?

A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that which of the following ECG components represent the time it takes for ventricular depolarization?

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings is a classic presentation of left-sided heart failure?

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)