A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally.
Which of the following actions is the nurse's priority?
Remind the client to change positions slowly.
Prepare the client's medication.
Record the client's urinary output.
Review the client's electrolyte levels.
The Correct Answer is D
Choice A rationale:
While reminding the client to change positions slowly is important to prevent orthostatic hypotension, it is not the priority before administering furosemide.
Choice B rationale:
Preparing the client’s medication is an important step, but it should be done after reviewing the client’s electrolyte levels.
Choice C rationale:
Recording the client’s urinary output is important when administering furosemide, a diuretic, but it is not the priority action.
Choice D rationale:
Reviewing the client’s electrolyte levels is crucial before administering furosemide because it can cause electrolyte imbalances, including low potassium levels, which can lead to serious cardiac complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Fish oil supplements do not have a known interaction with levothyroxine.
Choice B rationale:
Calcium supplements can interfere with the absorption of levothyroxine. They should be taken at least four hours apart from levothyroxine.
Choice C rationale:
While bulk-forming laxatives can interfere with the absorption of some medications, there’s no specific evidence they interfere with levothyroxine.
Choice D rationale:
Oral antihistamines do not have a known interaction with levothyroxine.
Correct Answer is B
Explanation
Choice A rationale:
Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.
Choice B rationale:
Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.
Choice C rationale:
Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.
Choice D rationale:
Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.
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