At 1300hrs, a nurse is preparing to administer medications to a 68-year-old male client in the cardiac unit. The client’s medications include Furosemide 40 mg PO daily, Potassium chloride 10 mEq/L PO twice daily, Lisinopril 10 mg PO daily, NPH insulin 26 units SUBQ daily, and Atorvastatin 20 mg PO daily.
Based on the findings above, complete the following sentence by using the list of options.The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
The nurse should clarify the prescription for Furosemide due to the client’s 2. Potassium level. The client’s potassium level is 3.2 mEq/L, which is below the normal range of 3.5 to 5 mEq/L. This could indicate hypokalemia, a condition that can cause weakness, fatigue, and heart rhythm problems. Therefore, it would be important for the nurse to clarify the prescription for potassium chloride, which is a medication used to treat or prevent low potassium levels. Please note that this is an assessment based on the information provided
Furosemide, also known as a loop diuretic, works by inhibiting the Na+/K+/2Cl- cotransporter in the ascending thick loop of Henle in the kidneys1. This part of the kidney is responsible for reabsorbing sodium, chloride, and potassium from the urine back into the body1.
When Furosemide inhibits this process, it leads to an increase in the amount of these electrolytes in the urine, which in turn leads to their decreased levels in the body1. This is why Furosemide can cause a decrease in potassium levels in the body, a condition known as hypokalemia23.
It’s important to note that while Furosemide helps in relieving the body of excess fluid, its use may lead to the depletion of certain electrolytes in the body, such as potassium3. Therefore, if you are taking Furosemide, your doctor may need to monitor your potassium levels or have you consume more potassium4.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Oxybutynin works by relaxing the muscles in the bladder. This helps decrease muscle spasms and improve the ability to control urination, thereby reducing the frequency of urination.
Therefore, this choice is correct.
Choice B rationale
Oxybutynin does not block the nervous system impulse to produce urine. It works primarily by relaxing the bladder muscles. Therefore, this choice is incorrect.
Choice C rationale
Oxybutynin does not reduce the rate at which the kidneys filter waste. Its primary action is on the bladder muscles. Therefore, this choice is incorrect.
Choice D rationale
Oxybutynin does not decrease the sensitivity of the urethral sphincter. Its main effect is to relax the bladder muscles. Therefore, this choice is incorrect.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
The nurse should clarify the prescription for Furosemide due to the client’s 2. Potassium level. The client’s potassium level is 3.2 mEq/L, which is below the normal range of 3.5 to 5 mEq/L. This could indicate hypokalemia, a condition that can cause weakness, fatigue, and heart rhythm problems. Therefore, it would be important for the nurse to clarify the prescription for potassium chloride, which is a medication used to treat or prevent low potassium levels. Please note that this is an assessment based on the information provided
Furosemide, also known as a loop diuretic, works by inhibiting the Na+/K+/2Cl- cotransporter in the ascending thick loop of Henle in the kidneys1. This part of the kidney is responsible for reabsorbing sodium, chloride, and potassium from the urine back into the body1.
When Furosemide inhibits this process, it leads to an increase in the amount of these electrolytes in the urine, which in turn leads to their decreased levels in the body1. This is why Furosemide can cause a decrease in potassium levels in the body, a condition known as hypokalemia23.
It’s important to note that while Furosemide helps in relieving the body of excess fluid, its use may lead to the depletion of certain electrolytes in the body, such as potassium3. Therefore, if you are taking Furosemide, your doctor may need to monitor your potassium levels or have you consume more potassium4.
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