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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Colonics (or colon cleansing) can be contraindicated for clients with diverticulitis. The procedure may cause irritation or perforation of the colon, which can worsen the condition. The nurse should advise against this therapy for clients with diverticulitis.
B. Guided imagery is a non-invasive relaxation technique that can help manage stress and discomfort. It is generally safe for clients with diverticulitis and can be beneficial in reducing pain or anxiety.
C. Acupuncture is a form of complementary therapy that involves inserting thin needles into specific body points. It may help alleviate pain and symptoms of various conditions, including diverticulitis, and is typically safe when performed by a trained practitioner.
D. Saw palmetto is an herbal remedy used for prostate issues, and while it may have some mild side effects, it is generally not contraindicated for diverticulitis. However, the nurse should assess for any other potential interactions or contraindications based on the client's overall health.
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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