A client with congestive heart failure is prescribed furosemide, a loop diuretic. The nurse should monitor the client for which potential adverse effect of this medication?

Bradycardia

Hypokalemia

Hypertension

Hyperglycemia

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.

B) This choice is correct. Furosemide is a loop diuretic that can lead to increased potassium excretion in the urine, potentially causing hypokalemia (low potassium levels). The nurse should closely monitor the client's potassium levels and provide potassium supplementation if necessary.

C) This choice is incorrect because hypertension (high blood pressure) is not typically associated with loop diuretics like furosemide. In fact, furosemide is used to treat hypertension and congestive heart failure by promoting the excretion of excess fluid and reducing blood pressure.

D) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.

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Correct Answer is B

Explanation

A) This choice is incorrect because clubbing refers to the enlargement of the fingertips and nails due to chronic hypoxia, which is not related to the client's reported symptoms.

B) This choice is correct. Peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure. The client's symptoms of swollen ankles, legs, and abdomen indicate peripheral edema.

C) This choice is incorrect because pitting edema is a specific type of edema where pressure on the skin leaves an indentation or "pit." While the client's edema may indeed be pitting, the question does not provide enough information to confirm this.

D) This choice is incorrect because ascites is the accumulation of fluid in the abdominal cavity and is not specific to the client's reported symptoms of swollen ankles and legs.

A. Bradycardia B. Hyperglycemia C. Hypotension D. Dry, nonproductive cough

Correct Answer is C

Explanation

A) This choice is incorrect because bradycardia (slow heart rate) is not a common adverse effect of furosemide, a loop diuretic.

B) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of furosemide. In fact, furosemide can sometimes cause transient hypoglycemia.

C) This choice is correct. Hypotension (low blood pressure) is a potential adverse effect of furosemide due to its diuretic action. Furosemide causes the excretion of excess fluid, leading to a decrease in blood volume, which can result in hypotension.

D) This choice is incorrect because a dry, nonproductive cough is associated with ACE inhibitors, not furosemide.

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A client with congestive heart failure is prescribed furosemide, a loop diuretic. The nurse should monitor the client for which potential adverse effect of this medication?

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Naxlex Comprehensive Predictor Exams

A client with congestive heart failure presents with swollen ankles, legs, and abdomen. The nurse should document these findings as:

Correct Answer is B

Explanation

A client with congestive heart failure is prescribed a daily dose of furosemide. The nurse should monitor the client for which potential adverse effect of this medication?

Correct Answer is C

Explanation

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