A nurse is caring for a client who is receiving furosemide to treat heart failure.
Which of the following laboratory values should the nurse monitor for this client?.
Serum cholesterol.
Serum amylase.
Serum potassium.
Serum triglyceride.
The Correct Answer is C
Choice A rationale:
Serum cholesterol is not directly affected by furosemide, a loop diuretic.
Choice B rationale:
Serum amylase is not directly affected by furosemide.
Choice C rationale:
Furosemide can cause hypokalemia (low potassium levels), so it’s important to monitor serum potassium levels in clients taking this medication. Normal serum potassium levels are 3.5-5.0 mEq/L.
Choice D rationale:
Serum triglyceride is not directly affected by furosemide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
Choice B rationale:
Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
Choice C rationale:
Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
Choice D rationale:
Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
Correct Answer is D
Explanation
Choice A rationale:
Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.
Choice B rationale:
Depression is not a contraindication for propranolol.
Choice C rationale:
Glaucoma is not a contraindication for propranolol.
Choice D rationale:
Heart failure is a contraindication for propranolol. Propranolol is a non-selective beta blocker that can exacerbate heart failure.
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