A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Potassium
Phosphate
Carbon dioxide
Bicarbonate
The Correct Answer is A
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
B, C, D- furosemide does not affect the blood levels of phosphate, Carbon dioxide and bicarbonate.
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Related Questions
Correct Answer is C
Explanation
hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention
Correct Answer is D
Explanation
Ciprofloxacin is a fluoroquinolone antibiotic that is associated with tendon rupture and tendonitis especially involving the Achilles tendon. Informing the client to report any tendon pain ensure that any complication is addressed and the medications stopped if need be.
A. ciprofloxacin causes diplopia and blurred vision but does not cause photophobia hence no need for sunglasses
B. The client should increase hydration as organism in UTI can predispose to urolithiasis
C. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin, reducing its effectiveness. They should be taken at least 2 hours before or 6 hours after taking the medication.
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