A nurse is preparing to administer medications to a female client.
The nurse has reviewed the client’s medical record. Based on the findings, complete the following sentence by using the list of options.
The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Rationale
Furosemide is a loop diuretic that promotes the excretion of potassium, which can lead to hypokalemia. The client’s potassium level on Day 2 is 2.8 mEq/L, which is significantly below the normal range of 3.5 to 5 mEq/L. Administering furosemide without addressing this hypokalemia could worsen the potassium deficiency, increasing the risk of complications such as arrhythmias.
Potassium chloride is prescribed to help replenish potassium levels, but the current dose may not be sufficient to counteract the effects of furosemide. Therefore, the nurse should clarify the prescription for furosemide to prevent further potassium depletion.
Sodium, BUN, and fasting blood glucose levels are within normal ranges and do not necessitate clarification of the furosemide prescription. Other medications on the client’s list do not directly exacerbate the low potassium levels, making furosemide the medication of concern in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Applying medicated powder under the vest is not recommended as it can interfere with the fit of the device, cause skin irritation, or affect the traction. The nurse should avoid using powders or lotions in the area.
B. The nurse should not loosen or tighten the screws on the halo traction device, as this requires a healthcare provider with the appropriate expertise to adjust it. Any adjustments should be made by the physician or specialist.
C. Ensuring that there is space for one finger between the vest and the client's skin is important for preventing skin breakdown and ensuring proper fit of the device. The vest should be snug but not tight enough to cause discomfort or pressure.
D. The nurse should not move the client by holding onto the halo traction device, as this can cause injury or disrupt the device's alignment. Instead, the nurse should use proper techniques and support to move the client safely.
Correct Answer is D
Explanation
A. Asking the client if they are afraid of needles may not address the root of the client's fear and could limit the conversation. It may also imply that their fear is based solely on needles, which may not be the case.
B. While the procedure may provide relief, telling the client they will feel better immediately may minimize their concerns and give false assurance. It’s more important to explore the client’s feelings first.
C. While asking the client to explain why they are scared is an open-ended question, it could make the client feel pressured to elaborate on their fears. It’s better to create a supportive environment by asking to discuss concerns more broadly.
D. This response acknowledges the client’s fear and invites them to express their concerns in a nonjudgmental and open way, which helps build trust and allows the nurse to address the client’s specific worries.
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