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 A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
Correct Answer is D
Explanation
(A) Sickle Cell Anemia: Follows incomplete dominance, where the heterozygous trait has a milder phenotype.
(B) Huntington’s Disease: Follows autosomal dominant inheritance, not co-dominance.
(C) Marfan Syndrome: Is an autosomal dominant disorder, not co-dominance.
(D) ABO Blood Type Inheritance: Co-dominance means both alleles are fully expressed. In ABO blood types, a person with AB blood has both A and B antigens expressed equally.
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