A client is admitted with hyponatremia.
Which of the following interventions should the nurse prioritize for this client?

Furosemide is a diuretic that lowers blood pressure by increasing urine output and reducing fluid volume in the body.

One of the possible adverse effects of furosemide is hypotension, which is low blood pressure.

This can cause symptoms such as dizziness, faintness, confusion, or weakness.

The nurse should monitor the client’s blood pressure and report any signs of hypotension to the doctor.

Choice A is wrong because hypertension, which is high blood pressure, is not a common side effect of furosemide.

In fact, furosemide is used to treat hypertension in some cases.

Choice B is wrong because hypoglycemia, which is low blood sugar, is not a common side effect of furosemide.

Furosemide does not affect blood sugar levels directly.

However, it may interact with some medications that lower blood sugar, such as insulin or oral antidiabetic drugs.

The nurse should check the client’s medication history and monitor their blood sugar levels if they are taking any of these drugs.

Choice C is wrong because hyperkalemia, which is high potassium levels in the blood, is not a common side effect of furosemide.

Furosemide belongs to a class of diuretics called loop diuretics, which lower potassium levels by increasing its excretion in the urine.

One of the possible adverse effects of furosemide is hypokalemia, which is low potassium levels in the blood.

This can cause symptoms such as muscle cramps, weakness, irregular heartbeat, or numbness.

The nurse should monitor the client’s potassium levels and advise them to eat foods rich in potassium, such as bananas, oranges, or potatoes.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg.

Normal ranges for blood sugar are 4.0 mmol/L to 7.8 mmol/L (72 mg/dL to 140 mg/dL).

Normal ranges for potassium are 3.5 mmol/L to 5.0 mmol/L (3.5 mEq/L to 5.0 mEq/L).

Acute renal injury (ARI) is a term for a reversible syndrome that results in decreased glomerular filtration rate (GFR) and oliguria. GFR is a measure of how well the kidneys filter blood and oliguria is a condition of producing less than normal amounts of urine.

Choice B is wrong because chronic renal injury (CRI) is not a reversible syndrome, but a progressive loss of kidney function over months or years.

Choice C is wrong because end-stage renal disease (ESRD) is not a reversible syndrome, but a condition where the kidneys have lost most or all of their function and dialysis or transplantation is required.

Choice D is wrong because acute tubular necrosis (ATN) is not a term for a syndrome, but a specific type of acute kidney injury that involves damage to the tubules, the part of the nephron that reabsorbs water and solutes from the filtrate.