The nurse administers furosemide IV to a patient with acute pulmonary edema. Which action is most important during administration?
Restrict the patient's fluid intake.
Ensure the patient voids before administration.
Administer the dose rapidly to achieve quick results.
Monitor the patient for tinnitus.
The Correct Answer is D
(A) Restrict the patient’s fluid intake: Fluid restrictions are important but not the priority during administration. Monitoring for adverse effects like ototoxicity is more critical.
(B) Ensure the patient voids before administration: Furosemide is a diuretic, but voiding before administration is not required.
(C) Administer the dose rapidly to achieve quick results: Rapid IV push can cause ototoxicity and hypotension. It should be given slowly over 1-2 minutes.
(D) Monitor the patient for tinnitus: High-dose or rapid IV administration of furosemide can cause ototoxicity, leading to tinnitus and hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Mannitol: Osmotic diuretic, does not significantly lower potassium.
(B) Calcium Carbonate: Used for hypocalcemia, not hyperkalemia.
(C) Glucose & Insulin: Insulin drives potassium into cells, reducing serum potassium levels. Glucose is given to prevent hypoglycemia.
(D) Metoprolol: Beta-blocker, does not directly lower potassium.
Correct Answer is D
Explanation
(A) Hypernatremia: PTH does not significantly affect sodium levels.
(B) Hyponatremia: PTH imbalance does not cause sodium depletion.
(C) Hypocalcemia: Hyperparathyroidism increases calcium levels, not decreases them.
(D) Hypercalcemia: Hyperparathyroidism causes excessive secretion of parathyroid hormone (PTH), which increases calcium release from bones, enhances calcium absorption in the intestines, and reduces calcium excretion by the kidneys, leading to hypercalcemia.
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