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
Explanation
Choice A rationale:
Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.
Choice B rationale:
Insomnia is not typically associated with pioglitazone.
Choice C rationale:
Orthostatic hypotension is not typically associated with pioglitazone.
Choice D rationale:
Tinnitus is not typically associated with pioglitazone.
Correct Answer is D
Explanation
Choice A rationale:
IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.
Choice B rationale:
The formulation of potassium (potassium chloride) is appropriate for IV administration.
Choice C rationale:
Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.
Choice D rationale:
The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.
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