The client has been prescribed furosemide (Lasix) for the treatment of edema. The nurse should monitor for which of the following adverse effects.
Hypertension.
Hypoglycemia.
Hyperkalemia.
Hypotension.
The Correct Answer is D
Furosemide is a diuretic that lowers blood pressure by increasing urine output and reducing fluid volume in the body.
One of the possible adverse effects of furosemide is hypotension, which is low blood pressure.
This can cause symptoms such as dizziness, faintness, confusion, or weakness.
The nurse should monitor the client’s blood pressure and report any signs of hypotension to the doctor.
Choice A is wrong because hypertension, which is high blood pressure, is not a common side effect of furosemide.
In fact, furosemide is used to treat hypertension in some cases.
Choice B is wrong because hypoglycemia, which is low blood sugar, is not a common side effect of furosemide.
Furosemide does not affect blood sugar levels directly.
However, it may interact with some medications that lower blood sugar, such as insulin or oral antidiabetic drugs.
The nurse should check the client’s medication history and monitor their blood sugar levels if they are taking any of these drugs.
Choice C is wrong because hyperkalemia, which is high potassium levels in the blood, is not a common side effect of furosemide.
Furosemide belongs to a class of diuretics called loop diuretics, which lower potassium levels by increasing its excretion in the urine.
One of the possible adverse effects of furosemide is hypokalemia, which is low potassium levels in the blood.
This can cause symptoms such as muscle cramps, weakness, irregular heartbeat, or numbness.
The nurse should monitor the client’s potassium levels and advise them to eat foods rich in potassium, such as bananas, oranges, or potatoes.
Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg.
Normal ranges for blood sugar are 4.0 mmol/L to 7.8 mmol/L (72 mg/dL to 140 mg/dL).
Normal ranges for potassium are 3.5 mmol/L to 5.0 mmol/L (3.5 mEq/L to 5.0 mEq/L).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body. This can cause hypokalemia, which is a low level of potassium in the blood.
Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.
Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.
Choice C is wrong because uric acid level is not related to potassium level.
Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.
Correct Answer is ["A","B","E"]
Explanation
The nurse should anticipate administering 0.9% sodium chloride solution and regular insulin infusion to a client with diabetic ketoacidosis (DKA).
Choice A is wrong because 0.45% sodium chloride solution is a hypotonic fluid that can cause cerebral edema in DKA patients.
Choice C is wrong because 5% dextrose in water solution can increase blood glucose levels and worsen hyperglycemia in DKA patients.
Choice D is wrong because lactated Ringer’s solution contains lactate, which can be converted to bicarbonate and cause metabolic alkalosis in DKA patients.
Normal ranges for blood glucose, pH, bicarbonate, and ketones are as follows3: Blood glucose: 70-130 mg/dL before meals, and less than 180 mg/dL after meals pH: 7.35-7.45
Bicarbonate: 22-26 mEq/L Ketones: negative or trace
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