A nurse is preparing to administer lidocaine via continuous IV infusion at 4 mg/min. Available is lidocaine 2 g dextrose 5% in water 500 mL. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A Reason:
"You should monitor for hearing difficulties." is correct. Loop diuretics like bumetanide can occasionally cause ototoxicity, resulting in hearing difficulties or ringing in the ears (tinnitus) as a potential adverse effect. It's important for clients taking these medications to be aware of such symptoms and report them promptly to their healthcare provider.
Choice B Reason:
"You should take the medication at bedtime." Is incorrect. Bumetanide is commonly prescribed to be taken in the morning to avoid nighttime diuresis and potential sleep disruption due to increased urination.
Choice C Reason:
"You should decrease your intake of foods high in potassium." Is incorrect. Loop diuretics often lead to potassium loss, so clients may actually need to increase their intake of potassium-rich foods or take potassium supplements under healthcare provider guidance to maintain normal potassium levels.
Choice D Reason:
"You should take this medication on an empty stomach." Is incorrect. Bumetanide can be taken with or without food, so it's not necessary to take it on an empty stomach.

Choice A Reason:
Tinnitus, a perception of noise or ringing in the ears, is not typically associated with paroxetine use.
Choice B Reason:
Drowsiness or somnolence is a common adverse effect associated with paroxetine and many other selective serotonin reuptake inhibitors (SSRIs). It's crucial for clients to be aware of this potential side effect, especially when starting the medication or adjusting the dosage. It might affect their ability to perform tasks requiring alertness, such as driving or operating machinery.
Choice C Reason:
Peripheral edema, or swelling in the extremities, is not a common adverse effect linked specifically to paroxetine use.
Choice D Reason:
Alopecia is correct. Alopecia, or hair loss, is not a commonly reported adverse effect of paroxetine.