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 red blood cell count is not typically elevated in leukemia. Leukemia primarily affects the white blood cells and their precursors in the bone marrow.
Choice B rationale:
Leukemia involves uncontrolled proliferation of white blood cells. An elevated white blood cell count, especially with abnormal cell types, can support the diagnosis of leukemia.
Choice C rationale:
Platelet count abnormalities are common in leukemia, but an elevated platelet count is more often associated with other conditions such as essential thrombocytosis, not necessarily leukemia.
Choice D rationale:
Hematocrit measures the volume of red blood cells in the blood and is not directly indicative of leukemia. Leukemia primarily affects white blood cells and does not significantly impact hematocrit levels.
Correct Answer is A
Explanation
Choice A rationale:
Priority consideration should be given to the child's intolerance of strangers, as it directly impacts the child's safety and comfort in the hospital environment.
Choice B rationale:
Increasing modesty is a normal developmental aspect, but it doesn't take precedence over safety concerns or the immediate hospital care needs.
Choice C rationale:
Having imaginary companions is a common behavior in children and is not an immediate priority in planning care.
Choice D rationale:
While the child's preference for others making decisions might be a consideration, it is not as urgent as addressing the child's intolerance of strangers, which can affect the child's emotional well-being and cooperation during hospitalization.
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