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 C

Explanation

hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention

A. “The naproxen is easier to take when I crush it and put it in apple sauce” B. "I've been taking an antacid to help with indigestion." C. "I've lost 2 pounds since my appointment 2 weeks ago." D. "1 signed up for a swimming class."

Correct Answer is A

Explanation

Crushing or breaking naproxen tablets can alter their pharmacokinetics and pharmacodynamics leading to an increased risk of gastrointestinal side effects or reduced

effectiveness of the medication. The tablet should therefore be taken whole.

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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

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Explanation

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Explanation

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