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A patient is receiving furosemide for pulmonary edema. Which potential side effects should the nurse monitor for? (Select all that apply)

A.

Hypokalemia

B.

Dehydration

C.

Hypertension

D.

Hypercalcemia

E.

Ototoxicity

Answer and Explanation

Correct Answer : A,B,E

(A) Hypokalemia: Furosemide is a loop diuretic that increases potassium excretion, leading to hypokalemia.

(B) Dehydration: Excessive diuresis can lead to dehydration.

(C) Hypertension: Furosemide lowers blood pressure; hypotension is a concern, not hypertension.

(D) Hypercalcemia: Furosemide increases calcium excretion, potentially causing hypocalcemia, not hypercalcemia.

(E) Ototoxicity: High-dose or rapid IV furosemide can cause hearing loss and tinnitus.


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Related Questions

Correct Answer is C

Explanation

(A) Potassium level of 4.0 mEq/L: Normal range (3.5-5.0 mEq/L), does not indicate CKD.

(B) Blood urea nitrogen (BUN) of 18 mg/dL: BUN can fluctuate with hydration status and is not the most specific CKD marker.

(C) Serum creatinine of 5.0 mg/dL: Creatinine is a direct marker of kidney function. A level above 1.2 mg/dL suggests dysfunction, and 5.0 mg/dL is severely elevated, indicating CKD.

(D) Urine specific gravity of 1.015: Falls within the normal range (1.010-1.030), does not indicate CKD.

Correct Answer is D

Explanation

(A) Hypernatremia: PTH does not significantly affect sodium levels.

(B) Hyponatremia: PTH imbalance does not cause sodium depletion.

(C) Hypocalcemia: Hyperparathyroidism increases calcium levels, not decreases them.

(D) Hypercalcemia: Hyperparathyroidism causes excessive secretion of parathyroid hormone (PTH), which increases calcium release from bones, enhances calcium absorption in the intestines, and reduces calcium excretion by the kidneys, leading to hypercalcemia.

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