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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.

Choice B rationale:

Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.

Choice C rationale:

Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.

Choice D rationale:

Even a single dose of diazepam can cause side effects, including drowsiness.

A. "If I crush it, you might experience a stomach ache or indigestion.” B. "I will crush it and mix it in some ice cream for you.”. C. "That would release all the medication at once, rather than over time.”. D. "Stomach acid will inactivate some of the medication if I crush the medication.”.

Correct Answer is A

Explanation

Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach to reduce gastrointestinal irritation. Crushing the medication would destroy the coating, causing the aspirin to be released in the stomach, which could lead to side effects like stomach ache or indigestion.

A. "If I crush it, you might experience a stomach ache or indigestion.”: This is accurate, as crushing the enteric coating would expose the stomach to aspirin, increasing the risk of irritation or ulceration.
B. "I will crush it and mix it in some ice cream for you.”: This is incorrect, as crushing enteric-coated aspirin is not recommended due to the loss of the protective coating.
C. "That would release all the medication at once, rather than over time.”: This is incorrect, as enteric-coated aspirin is not a time-release formulation; the coating is for stomach protection, not controlled release.
D. "Stomach acid will inactivate some of the medication if I crush the medication.”: This is incorrect, as stomach acid does not significantly inactivate aspirin, but rather the concern is increased gastric irritation.

The best response is A, as it correctly explains the risk of crushing the enteric-coated aspirin.

Final Answer: A. "If I crush it, you might experience a stomach ache or indigestion.”

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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?.

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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?.