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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 D

Explanation

Choice A rationale:

Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.

Choice B rationale:

Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.

Choice C rationale:

Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.

Choice D rationale:

Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.

A. Weight gain B. Oliguria C. Nausea D. Headaches

Correct Answer is B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit.

Choice B rationale:

Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.

Choice C rationale:

Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.

Choice D rationale:

Headaches can occur for various reasons and are not specific to fluid volume deficit.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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