A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client?
Serum potassium
Serum amylase
Serum triglyceride
Serum cholesterol
The Correct Answer is A
a. Serum potassium: Furosemide is a loop diuretic that can lead to potassium loss, potentially causing hypokalemia. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias.
b. Serum amylase: This is not directly related to furosemide therapy. Amylase is an enzyme associated with pancreatic and salivary function.
c. Serum triglyceride: Furosemide does not typically have a direct impact on serum triglyceride levels.
d. Serum cholesterol: Furosemide does not typically have a direct impact on serum cholesterol levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Determine the patency of the tubing: The first action should be to assess for any obstruction or kinks in the tubing. A blockage may be preventing the flow of urine.
b. Notify the provider: While notifying the provider may be necessary, assessing the tubing for patency is a more immediate action.
c. Offer oral fluids: While hydration is important, the priority is to ensure that the urinary catheter is functioning properly.
d. Administer a prescribed analgesic: Pain management is important postoperatively, but the
immediate concern is the lack of urinary output, which requires assessment and intervention to rule out catheter obstruction.
Correct Answer is D
Explanation
a. Blood glucose 150 mg/dL: While elevated blood glucose may be a concern, potassium levels are more critical in the context of acute gastroenteritis, which can lead to fluid and electrolyte
imbalances.
b. Urine specific gravity 1.035: Elevated urine specific gravity indicates concentrated urine and possible dehydration. However, the low potassium level takes precedence as it can lead to
serious cardiac complications.
c. Weight loss of 3% of total body weight: Weight loss is a concern, but the immediate risk of hypokalemia (low potassium) takes priority.
d. Potassium 2.5 mEq/L: This low potassium level is a critical finding that requires prompt attention, as it can lead to cardiac dysrhythmias and other serious complications.
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