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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Metronidazole is an antimicrobial agent used in the treatment of infections caused by anaerobic organisms. Its oral preparation commonly leaves an unpleasant metallic taste which is transient.
B, C, D -Metronidazole is not associated with hearing loss, olfactory changes or alterations in touch
Correct Answer is C
Explanation
warfarin inhibits vitamin K epoxide reductase interfering with the synthesis of vitamin K dependent clotting factors (II, VII, IX, and X). This prolongs the prothrombin time, expressed in the form of INR international normalized ratio. Monitoring of INR helps to ensure that the prescribed dosages are within the therapeutic levels without increasing the risk of bleeding. The target INR range is between 2.5 and 3.5.
A. Used to monitor heparin therapy
B, D- not used for monitoring
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