A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Hypoglycemia

Blood pressure 138/86 mm Hg

Frequent premature ventricular contractions

Decrease in LDL cholesterol and triglycerides

Answer and Explanation

The Correct Answer is C

A. Hypoglycemia: Furosemide does not typically cause hypoglycemia. Electrolyte imbalances and fluid shifts are the primary concerns with this loop diuretic, rather than effects on blood glucose.

B. Blood pressure 138/86 mm Hg: This blood pressure is slightly elevated but does not indicate an adverse effect of furosemide. The medication is more likely to lower blood pressure, especially in clients with volume overload.

C. Frequent premature ventricular contractions: Furosemide can cause hypokalemia, which increases the risk of cardiac arrhythmias such as premature ventricular contractions. Monitoring electrolytes is crucial to prevent potentially serious cardiac complications.

D. Decrease in LDL cholesterol and triglycerides: Furosemide does not affect lipid levels. Changes in LDL cholesterol or triglycerides are unrelated to its mechanism of action.

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Correct Answer is B

Explanation

A. Low-grade fever: A mild fever is not typically associated with the interaction between morphine and amitriptyline. It may indicate an unrelated infection or inflammatory process rather than a medication effect.

B. Urinary retention: Both morphine (an opioid) and amitriptyline (a tricyclic antidepressant) have anticholinergic properties that can decrease bladder tone and inhibit urination. When combined, they increase the risk of urinary retention, making this a significant adverse interaction.

C. Diarrhea: These medications more commonly cause constipation rather than diarrhea because of their combined effects on slowing gastrointestinal motility. Diarrhea would not indicate an interaction between the two drugs.

D. Tachypnea: Morphine typically causes respiratory depression rather than an increased respiratory rate. Tachypnea would not be a sign of interaction but could occur as a compensatory response to pain or anxiety.

A. Administers the injection in the abdomen B. Massages the site to enhance absorption C. Releases the skin fold before injecting the medication D. Aspirates the medication after injection

Correct Answer is A

Explanation

A. Administers the injection in the abdomen: Enoxaparin should be injected subcutaneously into the abdomen at least 2 inches away from the umbilicus. The abdominal area provides consistent absorption and reduces the risk of bruising or tissue injury.

B. Massages the site to enhance absorption: The site should not be massaged after injection, as this can cause bruising, tissue irritation, and increased bleeding due to the anticoagulant effect of enoxaparin.

C. Releases the skin fold before injecting the medication: The skin fold should be maintained throughout the injection to ensure that the medication is delivered into the subcutaneous tissue, not the muscle.

D. Aspirates the medication after injection: Aspiration should be avoided because it can cause tissue trauma and bruising. Enoxaparin should be administered smoothly without pulling back on the plunger.

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A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?

Correct Answer is B

Explanation

A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?

Correct Answer is A

Explanation

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