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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 C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

A. Instruct the client to increase his fluid intake. B. Prepare the client for dialysis. C. Check the client's liver function test results. D. Document this as an expected finding.

Correct Answer is D

Explanation

Choice A rationale:

Increased fluid intake is not likely to change the color of urine and sweat caused by rifampin.

Choice B rationale:

Dialysis is not indicated for managing the red-orange discoloration caused by rifampin.

Choice C rationale:

Rifampin can affect liver function, but the red-orange discoloration is not primarily related to liver function.

Choice D rationale:

Red-orange discoloration of urine, sweat, and other body fluids is an expected side effect of rifampin and does not require any specific interventions.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

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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?