The nurse is preparing to administer the following medications. Which medication should the nurse question administering?
Furosemide to the client with a serum potassium level of 2.9mEq/dL
Catopril to the client with a serum sodium level of 137 mEq/dL
Hydralazine to the client with a blood pressure of 168/94.
Diltiazem to the client with a glucose level of 280 mg/dL
The Correct Answer is A
A. Furosemide to the client with a serum potassium level of 2.9 mEq/dL: Furosemide is a loop diuretic that causes potassium loss; giving it to a patient with significant hypokalemia (K⁺ 2.9) would worsen hypokalemia and risk dysrhythmias -the order should be questioned.
B. Captopril to the client with a serum sodium level of 137 mEq/dL: sodium 137 is normal and captopril is not contraindicated by that sodium.
C. Hydralazine to the client with a blood pressure of 168/94: hydralazine for markedly elevated BP is reasonable.
D. Diltiazem to the client with a glucose level of 280 mg/dL: hyperglycemia is not a direct contraindication to diltiazem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Dangle legs before attempting to get out of bed or chair to prevent falls: Diuretics (including thiazides) can cause orthostatic hypotension; rising slowly and dangling legs reduces the fall risk.
B. Include fruits such as melons, bananas, and oranges in the diet: Thiazides can cause potassium loss-encouraging potassium-rich foods helps prevent hypokalemia.
C. Drinks extra fluids with this medication: Routine “drink extra fluids” is not standard advice; diuretics increase urine output and excessive fluid could worsen electrolyte imbalance-teach maintaining normal hydration and monitoring instead.
D. Take the last dose at bedtime: Diuretics are usually taken in the morning (or at least several hours before bedtime) to avoid nocturia and sleep disruption.
E. Report side effects such a muscle cramps, nausea, or a skin rash: Muscle cramps (possible hypokalemia), GI upset, or rash are important adverse effects to report.
Correct Answer is A
No explanation
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