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?

Frequent premature ventricular contractions

Hypoglycemia

Blood pressure 138/86 mm Hg

Decrease in LDL cholesterol and triglycerides

Answer and Explanation

The Correct Answer is A

A. Frequent premature ventricular contractions (PVCs) can be caused by furosemide, as it may lead to electrolyte imbalances, especially hypokalemia.

B. Hypoglycemia is not a common adverse effect of furosemide.

C. Blood pressure 138/86 mm Hg is within the acceptable range for clients with heart failure and is not an adverse effect of furosemide.

D. Decreased LDL cholesterol and triglycerides is not an expected outcome of furosemide administration.

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Correct Answer is D

Explanation

A. Increasing dietary intake of vitamin K would decrease the effectiveness of warfarin, as vitamin K is involved in clotting factor synthesis.

B. St. John's wort decreases the effects of warfarin, so it should be avoided.

C. Protamine sulfate is the antidote for heparin, not warfarin. The antidote for warfarin overdose is vitamin K.

D. Monitoring prothrombin time (PT) and INR is essential to assess the effectiveness and safety of warfarin therapy.

Correct Answer is ["25"]

Explanation

Finding out how many milliliters are infused per minute: 1hr/100mL×1 hr/60min=100mL/60 min

Finding the drops per minute, we multiply the mL/min by the drop factor: 100/60 x 15/1 = 1500/60 gtt/min =25gtt/min

So, the nurse should set the manual IV infusion to deliver 25 gtt/min.

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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 caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Correct Answer is ["25"]

Explanation

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