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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:

Naloxone is an opioid antagonist and does not increase pain relief.

Choice B rationale:

Naloxone is used to reverse opioid overdose, and an increased respiratory rate is a therapeutic effect, as it helps to counteract the respiratory depression caused by opioids.

Choice C rationale:

Decreased blood pressure is not a therapeutic effect of naloxone.

Choice D rationale:

Naloxone is not used to treat nausea directly.

A. BUN 16 mg/dL B. Potassium 5.3 mEq/L C. Sodium 142 mEq/L D. Albumin 4 g/Dl

Correct Answer is B

Explanation

Choice A rationale:

BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.

Choice B rationale:

Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.

Choice C rationale:

Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.

Choice D rationale:

Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.

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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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