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 A
Explanation
Fluid overload, also called hypervolemia, is a condition in which the body has too much water.
It can cause edema, hypertension, shortness of breath, and cardiovascular problems.
Diuretics are medications that help the body remove excess fluid through urine.
They are commonly used to treat fluid overload caused by heart failure, kidney failure, cirrhosis, and other conditions.
Choice B is wrong because encouraging increased fluid intake would worsen the fluid overload and increase the risk of complications.
Choice C is wrong because providing a high-sodium diet would also worsen the fluid overload and increase the risk of complications.
Sodium is an electrolyte that regulates fluid balance in the body.
Excess sodium intake can cause water retention and increase blood pressure.
Choice D is wrong because elevating the affected extremities is not an appropriate intervention for fluid overload.
Elevating the extremities can help reduce swelling caused by local factors such as injury or inflammation, but it does not address the underlying cause of fluid overload.
Correct Answer is A
Explanation
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.
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