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

Sim’s position places the lower gastrointestinal tract in the anatomical position allowing for the client's comfort as well as retention of the suppository once inserted. is the most appropriate position for the insertion of a rectal suppository. The client lies on the left lateral side with the lower arm positioned behind the body, and the upper thigh flexed.

A. Freeze unopened insulin vials. B. Shake the insulin vigorously before loading the syringe. C. Discard the NPH solution if it appears cloudy. D. Expect the NPH insulin to peak in 6 to 14 hr.

Correct Answer is D

Explanation

NPH Insulin is an intermediate acting insulin with a peak at 6-14hrs
A. Freezing unopened insulin vials is not recommended, as freezing can denature the insulin and affect its potency. Insulin should be stored in the refrigerator but should not be frozen
B. The insulin should be rotated of rolled between palms to allow for proper mixing before drawing.
Shaking vigorously promotes bubble formation
C. NPH insulin has a normal turbid appearance at neutral pH

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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 preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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