A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

Cortisol

Albumin

Potassium

Bicarbonate

Answer and Explanation

The Correct Answer is C

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A, B, D- furosemide has no effect on cortisol, albumin and bicarbonate.

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Correct Answer is B

Explanation

Severe nausea and vomiting can lead to respiratory acidosis due to the loss of gastric contents, which contain hydrochloric acid. When vomiting is prolonged or severe, the loss of acid can result in metabolic alkalosis.

A. Respiratory alkalosis occurs due to hyperventilation in conditions such as anxiety, salicylism

C. metabolic acidosis occurs in conditions where there is increased secretion of acid for example DKA

D. Respiratory acidosis occurs due to impaired ventilation such as chest trauma

A. Levodopa/carbidopa B. Piperacillin/tazobactam C. Carbamazepine D. Levothyroxine

Correct Answer is A

Explanation

Levodopa/carbidopa is metabolized to dopamine in the brain. This increases concentration of dopamine in the brain to bind dopaminergic neurons hence promoting cognition and motor movements in Parkinson disease
B. Piperacillin/tazobactam is an antibiotic used to manage bacterial infections.
C. Carbamazepine- is an anticonvulsant agent used in seizures control and other psychiatric illnesses.
D. Levothyroxine-a synthetic thyroid hormone used in the management of hypothyroidism.

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A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

Nursing Test Bank

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