The nurse should monitor for which potential clinical manifestation after administering furosemide (Lasix)?
Decreased blood pressure
Decreased temperature
Decreased pulse
Decreased respiratory rate
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Patient weight: 198 lbs ÷ 2.2 = 90 kg. Dose: 1 mg/kg × 90 kg = 90 mg. Volume: 90 mg ÷ (30 mg/0.3 mL) = 90 × 0.3/30 = 0.9 mL. This delivers the correct anticoagulant dose for conditions like DVT, making it the accurate choice.
Choice B reason: For 90 kg (198 lbs ÷ 2.2), the dose is 90 mg. Volume: 90 mg ÷ (30 mg/0.3 mL) = 0.9 mL. Choice B (1.2 mL) delivers 120 mg (1.2 × 30/0.3), overdosing Lovenox, increasing bleeding risk, making it incorrect.
Choice C reason: The correct volume for 90 mg is 0.9 mL (90 ÷ 30 mg/0.3 mL). Choice C (0.6 mL) delivers 60 mg (0.6 × 30/0.3), underdosing Lovenox, reducing anticoagulant efficacy, which could fail to prevent thrombosis, making this choice incorrect.
Choice D reason: For 90 mg, the volume is 0.9 mL. Choice D (0.3 mL) delivers 30 mg (0.3 × 30/0.3), significantly underdosing Lovenox for a 90 kg patient, risking inadequate anticoagulation and thrombotic events, making this choice incorrect.
Correct Answer is C
Explanation
Choice A reason: A sodium level of 140 mEq/L is within the normal range (135-145 mEq/L). While furosemide can cause hyponatremia, this value is not concerning. Hypokalemia is a greater risk with furosemide and digoxin, as it potentiates digoxin toxicity, making this choice less critical than potassium.
Choice B reason: Oxygen saturation of 95% is normal (95-100%). Crackles suggest pulmonary edema, but this saturation doesn’t indicate severe hypoxia requiring immediate action. Hypokalemia poses a greater risk with digoxin and furosemide, as it increases toxicity potential, making this choice less concerning.
Choice C reason: A potassium level of 3.0 mEq/L (normal: 3.5-5.0 mEq/L) indicates hypokalemia, exacerbated by furosemide’s diuretic effect. In digoxin use, low potassium increases cardiac toxicity risk, causing arrhythmias, especially with an irregular heart rate noted, making this the most concerning value requiring immediate attention.
Choice D reason: A blood glucose level of 100 mg/dL is normal (70-110 mg/dL fasting). It’s unrelated to digoxin or furosemide’s primary risks (e.g., electrolyte imbalances, arrhythmias). Hypokalemia is a more immediate concern due to its synergistic toxicity with digoxin, making this choice less critical.
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