When a child is receiving furosemide twice a day, for which complication should a nurse monitor closely?
Hypercalcemia.
Hypokalemia.
Hypocalcemia.
Hyperkalemia.
The Correct Answer is B
Choice A rationale:
Hypercalcemia refers to high calcium levels in the blood, and it is not a common complication associated with furosemide use. Furosemide primarily affects electrolytes like potassium.
Choice B rationale:
Furosemide is a loop diuretic that can lead to excessive potassium loss through urine, potentially causing hypokalemia (low potassium levels). Monitoring potassium is crucial to prevent complications like muscle weakness and cardiac arrhythmias.
Choice C rationale:
Hypocalcemia, which is low calcium levels, is not a typical complication of furosemide use. Furosemide's primary impact is on sodium and potassium balance.
Choice D rationale:
Hyperkalemia is the opposite of what furosemide commonly causes. Furosemide-induced diuresis often leads to hypokalemia, not hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.
Choice B rationale:
This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.
Choice C rationale:
The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.
Choice D rationale:
The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.
Correct Answer is A
Explanation
Have a child life specialist explain the procedure using a doll.
Choice A rationale:
Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.
Choice B rationale:
Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.
Choice C rationale:
Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.
Choice D rationale:
Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.
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