A nurse is preparing to administer furosemide to a client who has acute heart failure.

Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?

Sodium 136 mEq/L.

Creatinine 0.8 mg/dL.

Potassium.2 mEq/L.

BUN 18 mg/dL.

Answer and Explanation

The Correct Answer is C

Furosemide is a loop diuretic that can cause loss of potassium from the body.
A potassium level of.2 mEq/L is considered low (hypokalemia) and can be a contraindication for receiving the medication.
Sodium 136 mEq/L is within the normal range and is not a contraindication for receiving furosemide.
B) Creatinine 0.8 mg/dL is within the normal range and is not a contraindication for receiving furosemide.
D) BUN 18 mg/dL is within the normal range and is not a contraindication for receiving furosemide.

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Correct Answer is C

Explanation

“I’m too tired to brush my teeth.” This statement indicates that the client is experiencing fatigue, which is a common symptom of heart failure.
Fatigue can significantly impact a person’s ability to perform daily activities and can be an indication that the client needs a referral for cardiac rehabilitation 1.
Choice A is not the correct answer because weighing oneself daily is a recommended self-monitoring technique for clients with heart failure.
Choice B is not the correct answer because while feeling unhappy can be a symptom of heart failure, it does not necessarily indicate a need for cardiac rehabilitation.
Choice D is not the correct answer because eating a low-sodium diet is a recommended dietary change for clients with heart failure.

A. Place two-bed pillows between the legs when in bed. B. Encourage the client to lean forward when attempting to stand. C. Remove the wedge device when turning. D. Elevate the knees higher than the hips when sitting.

Correct Answer is A

Explanation

Place two-bed pillows between the legs when in bed.
To prevent hip dislocation after total hip arthroplasty, the nurse should place two-bed pillows between the client’s legs when in bed.
This helps maintain proper alignment and prevent the hip from dislocating.
Choice B is incorrect because leaning forward when attempting to stand can increase the risk of hip dislocation.
Choice C is incorrect because removing the wedge device when turning can increase the risk of hip dislocation.
Choice D is incorrect because elevating the knees higher than the hips when sitting can increase the risk of hip dislocation.

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A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer furosemide to a client who has acute heart failure.

Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?