A client is prescribed furosemide, a loop diuretic, for hypertension.
The nurse should instruct the client to monitor for which of the following signs of electrolyte imbalance (Select all that apply).
Muscle cramps.
Dry mouth.
Numbness and tingling.
Weakness and fatigue.
Tachycardia.
Correct Answer : A,C,D
Furosemide is a loop diuretic that causes the kidneys to excrete more water and salt, which can lead to dehydration and electrolyte imbalance.
Electrolyte imbalance can cause muscle cramps, numbness and tingling, weakness and fatigue, and other symptoms.
Therefore, the client should monitor for these signs and report them to the doctor if they occur.
Choice B is wrong because dry mouth is not a sign of electrolyte imbalance, but rather a sign of dehydration.
Dehydration can also cause thirst, decreased urination, drowsiness, and confusion.
Choice E is wrong because tachycardia is not a sign of electrolyte imbalance, but rather a sign of hypovolemia (low blood volume) or hypotension (low blood pressure).
Furosemide can lower blood pressure by reducing fluid volume in the body.
Therefore, the client should also monitor their blood pressure and pulse regularly while taking furosemide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to Healthline1 and Mayo Clinic, the normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L).
Choice A is wrong because it is the normal range for potassium, not sodium.
Choice B is wrong because it is the normal range for calcium, not sodium.
Choice D is wrong because it is the normal range for chloride, not sodium
Correct Answer is B
Explanation
Performing hand hygiene before and after handling the dialysis equipment is essential to prevent infection in peritoneal dialysis.
Hand washing and appropriate use of a mask can help avoid peritonitis, which is a serious complication of peritoneal dialysis.
Choice A is wrong because administering antibiotics prophylactically is not recommended for peritoneal dialysis patients, as it can increase the risk of antibiotic resistance and adverse effects.
Choice C is wrong because allowing the client to handle the dialysis equipment independently may increase the risk of contamination and infection.
The client should be supervised and instructed by a nurse on how to use sterile technique when connecting and disconnecting the transfer set.
Choice D is wrong because discontinuing the peritoneal dialysis if the client develops a fever may worsen the client’s condition and lead to fluid overload and electrolyte imbalance.
The client should be evaluated for signs of infection and treated accordingly.
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