A patient with ﬂuid overload is prescribed furosemide (Lasix) 20 mg by mouth each day. What should the nurse include when teaching the patient about this medication? (Select all that apply.)

Measure body weight every day.

Expect urination to increase.

Take the medication before going to sleep.

Report swelling of the face or hands.

Expect to feel weak and dizzy.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A: Measure body weight every day is correct because body weight is an indicator of ﬂuid balance and can help monitor the eﬀectiveness of the medication. The nurse should instruct the patient to weigh themselves at the same time each day, preferably in the morning, and report any significant changes to the provider.

Choice B: Expect urination to increase is correct because furosemide is a diuretic that works by blocking the reabsorption of sodium and water in the kidneys, thus increasing urine output and reducing ﬂuid volume. The nurse should instruct the patient to drink enough ﬂuids to prevent dehydration and electrolyte imbalance and to avoid taking the medication at night to prevent nocturia and sleep disturbance.

Choice C: Taking the medication before going to sleep is incorrect because taking furosemide at night can cause nocturia and sleep disturbance, as well as increase the risk of falls. The nurse should instruct the patient to take the medication in the morning or early afternoon and to avoid caﬀeine and alcohol, which can also increase urination.

Choice D: Report swelling of the face or hands is correct because swelling of the face or hands can indicate an allergic reaction or angioedema, which are rare but serious side effects of furosemide. The nurse should instruct the patient to stop taking the medication and seek immediate medical attention if they experience swelling of the face or hands, as well as difficulty breathing, hives, or itching.

Choice E: Expecting to feel weak and dizzy is correct because weakness and dizziness are common side effects of furosemide, especially when starting or increasing the dose. The nurse should instruct the patient to rise slowly from a sitting or lying position and to use caution when driving or performing other activities that require alertness. The nurse should also instruct the patient to report any signs of hypotension, such as fainting, blurred vision, or chest pain.

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 C

Explanation

Choice A Reason: This is incorrect because phosphorus is not the most aﬀected electrolyte by acute renal failure. Phosphorus is a mineral that is involved in bone formation, energy metabolism, and acid-base balance. Acute renal failure can cause hyperphosphatemia, which is a high level of phosphorus in the blood, due to impaired excretion by the kidneys. However, hyperphosphatemia is usually asymptomatic and can be treated with phosphate binders and dietary restriction.

Choice B Reason: This is incorrect because magnesium is not the most aﬀected electrolyte by acute renal failure. Magnesium is a mineral that is essential for nerve and muscle function, blood pressure regulation, and bone health. Acute renal failure can cause hypermagnesemia, which is a high level of magnesium in the blood, due to impaired excretion by the kidneys. However, hypermagnesemia is rare and usually occurs in patients who receive excessive magnesium supplementation or antacids.

Choice C Reason: This is correct because potassium is the most aﬀected electrolyte by acute renal failure. Potassium is a mineral that is vital for nerve and muscle function, especially for the heart. Acute renal failure can cause hyperkalemia, which is a high level of potassium in the blood, due to impaired excretion by the kidneys. Hyperkalemia can cause muscle weakness, cardiac arrhythmias, and cardiac arrest. The nurse should monitor the patient's vital signs, electrocardiogram, and serum potassium level, and administer medications or dialysis as ordered.

Choice D Reason: This is incorrect because calcium is not the most aﬀected electrolyte by acute renal failure. Calcium is a mineral that is essential for muscle contraction, nerve transmission, and blood clotting. Acute renal failure can cause hypocalcemia, which is a low level of calcium in the blood, due to decreased production of active vitamin D by the kidneys. Hypocalcemia can cause tetany, seizures, and cardiac arrhythmias. The nurse should monitor the patient's vital signs, electrocardiogram, and Chvostek's and Trousseau's signs, and administer calcium and vitamin D supplements as ordered.

Choice E Reason: This is incorrect because sodium is not the most aﬀected electrolyte by acute renal failure. Sodium is a mineral that regulates ﬂuid balance, blood pressure, and nerve impulses. Acute renal failure can cause hyponatremia or hypernatremia, which are low or high levels of sodium in the blood, due to impaired regulation of water intake and output by the kidneys. Hyponatremia can cause confusion, seizures, and coma. Hypernatremia can cause thirst, agitation, and restlessness. The nurse should monitor the patient's ﬂuid balance, vital signs, and serum sodium level, and administer ﬂuids or diuretics as ordered.

A. Use an infusion controller for the IV. B. Add the ordered dose to the IV bag hanging. C. Monitor the injection site for redness. D. Monitor ﬂuid intake and output. E. Administer the dose IV push over 3 minutes.

Correct Answer is ["A","B","C"]

Explanation

Choice A Reason: This is correct because using an infusion controller for the IV ensures that the KCL is delivered at a safe and accurate rate. KCL can cause cardiac arrest if infused too rapidly or in excess.

Choice B Reason: This is correct because adding the ordered dose to the IV bag hanging dilutes the KCL and reduces the risk of phlebitis and extravasation. KCL is irritating to the veins and can cause tissue damage if it leaks out of the vein.

Choice C Reason: This is correct because monitoring the injection site for redness can help detect signs of phlebitis and extravasation. The nurse should stop the infusion and notify the provider if these complications occur.

Choice D Reason: This is incorrect because monitoring ﬂuid intake and output is not directly related to administering KCL. However, the nurse should monitor the patient's serum potassium level and renal function before and during KCL therapy, as kidney impairment can cause hyperkalemia.

Choice E Reason: This is incorrect because administering the dose IV push over 3 minutes is dangerous and contraindicated. KCL should never be given by IV push, bolus, or undiluted, as it can cause fatal cardiac arrhythmias.

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 patient with ﬂuid overload is prescribed furosemide (Lasix) 20 mg by mouth each day. What should the nurse include when teaching the patient about this medication? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a patient who was diagnosed with acute renal failure. Which electrolyte should the nurse expect to be most aﬀected by this disorder?

Correct Answer is C

Explanation

The patient is prescribed to receive intravenous potassium chloride (KCL). Which actions should the nurse take when administering this medication? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

The nurse is caring for a patient who is anxious and dizzy following a traumatic experience. The arterial blood gas findings include: pH 7.48, PaO2 110, PaCO2 25, and HCO3 24. Which intervention should the nurse expect to be prescribed to correct this problem?

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for ﬂuid volume deficit?

A nurse is caring for a patient whose sodium level is 118 mEq/L. Which nursing diagnosis is a priority for this patient?

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

A nurse is assessing a client who has ﬂuid volume deficit. The nurse should expect which of the following findings?

The nurse is reviewing the health problems for a group of assigned patients. Which patient does the nurse recognize as being at increased risk for developing metabolic alkalosis?

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate?