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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.
Choice B rationale:
Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.
Choice C rationale:
The rate of drug absorption tends to decrease with age, not increase.
Choice D rationale:
Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.
Choice E rationale:
Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.
Correct Answer is D
Explanation
Choice A rationale:
Starting a new exercise program is not directly associated with the development of hypomagnesemia.
Choice B rationale:
Starting a new exercise program is not directly associated with the development of hypokalemia.
Choice C rationale:
Starting a new exercise program is not directly associated with the development of hypocalcemia.
Choice D rationale:
Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.
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