The nurse should monitor for which potential clinical manifestation after administering furosemide (Lasix)?

Decreased blood pressure

Decreased temperature

Decreased pulse

Decreased respiratory rate

Answer and Explanation

The Correct Answer is A

Choice A reason: Furosemide, a loop diuretic, reduces blood volume, often lowering blood pressure. Monitoring for hypotension is critical to prevent dizziness or shock, making this the correct manifestation to observe.

Choice B reason: Decreased temperature is not a common effect of furosemide, which primarily affects fluid balance. Blood pressure changes are more relevant, so this is incorrect.

Choice C reason: Furosemide may increase heart rate due to volume loss, not decrease pulse. Hypotension is a primary concern, making this incorrect for the expected manifestation.

Choice D reason: Decreased respiratory rate is unrelated to furosemide, which may improve breathing in heart failure but not slow respiration. Blood pressure is key, so this is incorrect.

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Correct Answer is B

Explanation

Choice A reason: Hydrochlorothiazide can treat diabetes insipidus by reducing urine output via sodium reabsorption, but this is a secondary use. Its primary role is in hypertension management, as it lowers blood pressure by decreasing blood volume, making this choice less accurate.

Choice B reason: Hydrochlorothiazide, a thiazide diuretic, is primarily used for hypertension by promoting sodium and water excretion, reducing blood volume and vascular resistance. It’s a first-line treatment per guidelines, effectively lowering blood pressure, making this the correct choice for its primary indication.

Choice C reason: Hydrochlorothiazide treats edema in heart failure or renal disease by increasing diuresis, but this is a secondary indication. Its primary use is hypertension, where it reduces blood pressure more consistently across patients, making this choice less accurate than hypertension.

Choice D reason: Hydrochlorothiazide doesn’t protect against postmenopausal osteoporosis. While thiazides reduce urinary calcium loss, they’re not indicated for osteoporosis prevention, unlike bisphosphonates. Their primary role is hypertension management, making this choice incorrect for the drug’s main therapeutic use.

A. Respiratory Depression B. Hypothyroidism C. Tremors and Hyperreflexia D. Congenital Anomalies

Correct Answer is A

Explanation

Choice A reason: Meperidine, an opioid, crosses the placenta, risking neonatal respiratory depression. Monitoring breathing is critical post-delivery, making this the correct observation for the infant.

Choice B reason: Hypothyroidism is not associated with meperidine exposure. Opioids primarily affect respiration, so this is irrelevant and incorrect for the expected effect.

Choice C reason: Tremors and hyperreflexia are not typical meperidine effects in newborns; respiratory depression is the primary concern. This is incorrect for the nurse’s focus.

Choice D reason: Congenital anomalies result from chronic exposure, not acute labor analgesia. Meperidine’s immediate risk is respiratory, so this is incorrect for monitoring.

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The nurse should monitor for which potential clinical manifestation after administering furosemide (Lasix)?

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