A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?
Hypocalcemia
Hypernatremia
Hyperkalemia
Hypokalemia
The Correct Answer is D
Rationale:
A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.
B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.
C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.
D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Preventing vagal stimulation can help prevent bradycardia.
B. Acute pain is not typically associated with sinus bradycardia.
C. Preventing falls is important because bradycardia can lead to dizziness and falls.
D. Assessing for neurologic changes is important because bradycardia can affect cerebral perfusion.
E. Monitoring fluid volume excess is not directly related to sinus bradycardia.
Correct Answer is C
Explanation
Rationale:
A. This is wrong because the ECG leads show ST segment elevation.
B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.
C. This is correct because of the ST segment elevation.
D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.
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