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

Applying an ice pack can help reduce pain and swelling after total knee arthroplasty.
Placing pillows under the client’s knee (choice A) is not recommended as it can hinder circulation and delay healing.
Performing range-of-motion exercises to the client’s knee (choice B) may be part of the rehabilitation process but should be done under the guidance of a physical therapist and may not be appropriate for immediate pain relief.
Gently massaging the area around the client’s incision (choice D) may not be appropriate as it can cause discomfort and disrupt the healing process.

A. Disconnect and flush the IV access line. B. Administer lactated Ringer through a peripheral IV site. C. Decrease the TPN infusion rate. D. Infuse dextrose 10% in water.

Correct Answer is D

Explanation

If the new TPN solution is not available, the nurse should infuse dextrose 10% in water to prevent hypoglycemia.
Choice A is incorrect because disconnecting and flushing the IV access line would interrupt the client’s nutrition and could lead to hypoglycemia.
Choice B is incorrect because lactated Ringer’s solution does not provide the necessary glucose to prevent hypoglycemia.
Choice C is incorrect because decreasing the TPN infusion rate would not provide the necessary glucose to prevent hypoglycemia.

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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

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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?