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 B
Explanation
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
Correct Answer is C
Explanation
Choice A rationale:
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.
Choice B rationale:
The reconciliation process should be completed at each transition of care, not just at admission.
Choice C rationale:
Providing a comprehensive list of medications at discharge is a key component of medication reconciliation.
Choice D rationale:
Nurses should not write verbal orders for medications. This is the responsibility of the provider.
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