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 A
Explanation
Choice A rationale:
Collaborating with the team to begin peritoneal dialysis is the priority nursing intervention for a 9-year-old child with assessment findings of low urine output, high creatinine, and elevated blood urea nitrogen. These indicators suggest acute kidney injury, and initiating peritoneal dialysis is crucial to remove waste products and excess fluids.
Choice B rationale:
Strictly monitoring intake and output is important, but the child's current lab values and condition indicate the need for more immediate intervention through dialysis.
Choice C rationale:
Ensuring a low-sodium, low-phosphorus, and low-protein diet is important for renal health, but it's not the priority over addressing the acute kidney injury.
Choice D rationale:
Monitoring blood pressure is relevant but does not address the acute kidney injury that requires immediate attention. Assessment Findings for Adolescent Client:
Choice A rationale:
Numbness and tingling feeling in her legs require immediate action. These symptoms could indicate nerve compression or compromised blood flow due to the rod placement and need prompt assessment to prevent complications.
Choice B rationale:
A fever of 100.4°F (38°C) after surgery is common and can be managed with appropriate interventions, but it's not the most urgent concern in this case.
Choice C rationale:
Pain at the incision site is expected after surgery and should be managed appropriately, but it's not an immediate priority over potential neurovascular issues.
Choice D rationale:
Sleeping with occasional snoring might be related to anesthesia or positioning but doesn't require immediate action compared to the potential complications indicated by numbness and tingling.
Correct Answer is C
Explanation
Urine output 76 mL/24 hours.
Choice A rationale:
BUN (Blood Urea Nitrogen) of 14 mg/dL falls within the normal range (7-20 mg/dL) and is not an immediate concern.
Choice B rationale:
Serum Creatinine of 0.4 mg/dL is also within the normal range (0.2-0.5 mg/dL) and does not warrant immediate action.
Choice C rationale:
Urine output of 76 mL/24 hours is significantly decreased from the expected normal range (1-2 mL/kg/hour), indicating potential kidney dysfunction or dehydration. This requires immediate action to assess the child's hydration status and kidney function.
Choice D rationale:
Hb (Hemoglobin) of 12 g/dL is within the normal range for a 5-year-old child (11.5-15.5 g/dL) and does not necessitate urgent intervention.
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