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A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?

BUN 15 mg/dL

Potassium 3.8 mEq/L

The client reports dizziness upon standing.

The client reports difficulty hearing.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

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Correct Answer is B

Explanation

Choice A rationale:

Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.

Choice B rationale:

Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.

Choice C rationale:

A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.

Choice D rationale:

Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.

A. "You should anticipate taking medication to treat your disease for at least the next 3 years." B. "You should report monthly to have your blood drawn to monitor kidney function while taking medication." C. "You will need to take two or more medications to treat your disease." D. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."

Correct Answer is C

Explanation

Choice A rationale:

The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.

Choice B rationale:

Monitoring kidney function is not the primary focus of tuberculosis medication management.

Choice C rationale:

Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.

Choice D rationale:

Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.

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A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

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Correct Answer is C

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