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 C
Explanation
A. While the pharmacy may be able to provide information on generic alternatives, the nurse should not direct the client to contact the pharmacy for a different medication. The provider is the one who can assess and prescribe alternative medications if necessary.
B. The occupational therapist may not be the appropriate professional to address financial concerns related to medication costs. A social worker is more likely to have the resources and knowledge to assist with these concerns.
C. Arranging for a social worker to assist the client with financial concerns related to medication is the most appropriate action. Social workers can connect clients with resources such as financial assistance programs, insurance options, or discount programs.
D. While the provider may be able to prescribe a cheaper medication, the nurse should not suggest this as the first course of action. A social worker is better suited to help explore the financial situation and provide resources.
Correct Answer is D
Explanation
A. Neurogenic bladder refers to bladder dysfunction due to nerve damage and is not related to the positioning of the urinary catheter or IV tubing.
B. Skin breakdown could be a concern with immobility or moisture around the catheter site, but the primary risk from the kinked tubing and improper catheter bag positioning is infection, not skin breakdown.
C. Phlebitis is inflammation of the vein, typically caused by an IV site issue, but this is not related to the urinary catheter or tubing.
D. Infection is the primary concern when the urinary catheter is not properly positioned. A kinked IV tubing can cause pressure and backflow, and if the catheter bag is not positioned below the bladder, it can increase the risk of urinary tract infections (UTIs). Proper positioning and drainage of the catheter are essential to prevent infection.
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