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 D

Explanation

Iron absorption is enhanced when taken between meals as some foods may inhibit absorption especially if the food contains tannins, calcium and fiber. Taking ferrous sulfate tablets between meals helps maximize iron absorption and ensures optimal effectiveness in treating iron deficiency anemia.

A. Taking ferrous sulfate between meals does not prevent constipation.

B. Taking iron supplements with food may help reduce gastrointestinal side effects such as nausea and irritation.

C. Ferrous sulfate can cause nausea regardless of time taken

A. A severe allergy to amoxicillin B. A recent history of diarrhea for 3 days C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride D. Serum creatinine 0.8 mg/Dl

Correct Answer is A

Explanation

Cefoxitin is a cephalosporin with potential cross reactivity with penicillins (amoxicillin)and hence must be avoided in known history of penicillin allergy
B. A recent history of diarrhea for 3 days is not a contraindication for the administration of cefoxitin.
C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride is not directly related to the administration of cefoxitin.
D. A serum creatinine level of 0.8 mg/dL is within the normal range

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is A

Explanation

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