A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

Increased blood pressure

Hearing loss

Ankle edema

Decreased blood sugar

Answer and Explanation

The Correct Answer is B

B. Hearing loss can indeed be an adverse effect associated with furosemide use, especially when high doses are administered rapidly intravenously or when the medication is used long-term. This occurs due to furosemide's potential to cause ototoxicity, affecting the inner ear and leading to hearing impairment.

A. Furosemide is not known to increase blood pressure. In fact, it typically helps reduce blood pressure by reducing fluid volume through its diuretic action. Therefore, increased blood pressure would not be an adverse effect of furosemide.

C Ankle edema is not typically an adverse effect of furosemide. In fact, furosemide is used to treat edema by reducing fluid retention, so the presence of ankle edema would indicate inadequate response to the medication or progression of the underlying condition.

D. Furosemide is not known to cause decreased blood sugar levels. Instead, it can cause electrolyte imbalances such as hypokalemia (low potassium levels), which might manifest with symptoms similar to hypoglycemia but does not directly lower blood sugar levels.

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Correct Answer is A

Explanation

A. Lactated Ringer's is often preferred in the initial management of burn patients because it closely mimics the electrolyte composition of extracellular fluid and helps to restore intravascular volume and electrolyte balance. It provides effective fluid resuscitation without the risk of causing excessive free water retention or electrolyte imbalances.

B. This solution primarily provides free water and does not contain electrolytes. While it can be used to provide calories and some degree of hydration, it is not suitable as the sole fluid replacement for a client with major burns and dehydration. Using hypotonic solutions alone in burn patients can lead to dilutional hyponatremia and worsen electrolyte imbalances.

C. Similar to dextrose 5% in water, this solution provides some calories and minimal sodium chloride. However, it lacks sufficient electrolyte content to adequately replace losses in burn patients. It is not typically used as the primary fluid for resuscitation in major burns due to its inadequate electrolyte content.

D. Like the previous options, 0.45% sodium chloride solution does not provide adequate electrolyte support for fluid resuscitation in major burns. It may be used cautiously in specific situations where a more dilute sodium concentration is desired, but it is not suitable as the primary fluid replacement solution for burn patients experiencing dehydration.

A. "You might experience hair loss while taking this medication." B. "This medication can cause an increase in appetite." C. "This medication can cause diarrhea." D. "Urinary frequency is a common adverse effect of this medication.

Correct Answer is B

Explanation

B. Tricyclic antidepressants, including amitriptyline, can affect appetite and metabolism, often resulting in weight gain. Clients should be informed about this potential side effect so they can monitor their food intake and weight.

A. Hair loss (alopecia) is not typically associated with tricyclic antidepressants like amitriptyline. If a client experiences hair loss, it is more likely due to other factors or conditions unrelated to this medication.

C Tricyclic antidepressants like amitriptyline can slow down gastrointestinal motility, leading to constipation rather than diarrhea. It's important to educate clients about the potential for constipation and encourage them to maintain adequate fluid intake and dietary fiber.

D. Tricyclic antidepressants can have anticholinergic effects, including urinary retention rather than increased frequency. Clients should be aware of this potential side effect and report any difficulty urinating to their healthcare provider.

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A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has major burns and is experiencing dehydration. The nurse should anticipate a prescription to infuse which of the following solutions?

Correct Answer is A

Explanation

A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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