A nurse is reinforcing teaching with the parent of an infant who is receiving furosemide. The nurse should reinforce with the parent that which of the following laboratory tests will be monitored while the infant is receiving this medication?

Potassium

WBC count

Iron

Amylase

Answer and Explanation

The Correct Answer is A

A. Potassium: Furosemide is a loop diuretic that increases renal excretion of sodium, chloride, and water, which can lead to significant potassium loss. Monitoring serum potassium levels is essential to prevent hypokalemia, which can cause muscle weakness, arrhythmias, and cardiac complications, especially in infants who are more vulnerable to electrolyte imbalances.

B. WBC count: Furosemide does not typically affect white blood cell production or immune function. Monitoring WBC count is not indicated solely for furosemide therapy unless the infant has another condition that requires hematologic surveillance.

C. Iron: Furosemide does not interfere with iron metabolism or absorption. Iron studies are unrelated to diuretic therapy and are not required unless the infant has known anemia or is receiving iron supplementation for another reason.

D. Amylase: Amylase is a pancreatic enzyme monitored in cases of pancreatic disorders or suspected pancreatitis. Furosemide therapy does not directly affect pancreatic function, so amylase measurement is not indicated as part of routine monitoring for this medication.

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Correct Answer is B

Explanation

A. Discontinue the enema: Mild cramping is a common response during enema administration and does not require stopping the procedure. Discontinuing unnecessarily would prevent the client from receiving the intended therapeutic effect.

B. Slow the rate of instillation: Cramping often occurs when the solution enters the rectum too quickly. Slowing the rate allows the colon to accommodate the fluid more comfortably, reducing discomfort while continuing the enema safely and effectively.

C. Ask the client to hold his breath until the cramping passes: Holding the breath does not relieve rectal cramping and may increase client discomfort or anxiety. Comfort measures should focus on adjusting the procedure rather than altering breathing inappropriately.

D. Pause the enema to administer pain medication to the client: Administering systemic pain medication is unnecessary for mild, transient cramping. Slowing the enema is sufficient to manage discomfort, and pausing for medication would unnecessarily delay treatment.

A. "Call a shelter in another county." B. "Leave your partner immediately." C. "Keep a packed bag by your front door." D. "Rehearse your escape route."

Correct Answer is D

Explanation

A. "Call a shelter in another county.": While contacting a shelter can be part of a safety plan, specifying another county is not necessary unless there is a need for increased distance from the abuser. The instruction should be individualized, and calling local resources may be more immediately practical and safer.

B. "Leave your partner immediately.": Immediate departure is not always safe and may increase the risk of harm if done impulsively. Safety planning emphasizes strategic, well-thought-out actions rather than abrupt decisions that could escalate danger.

C. "Keep a packed bag by your front door.": Having a packed bag ready is a precautionary measure, but it is only effective if the client also has a safe, rehearsed plan and access to secure transportation. Without a concrete strategy, this step alone may not reduce risk effectively.

D. "Rehearse your escape route.": Practicing an escape route helps the client respond quickly and safely in an emergency situation. Rehearsal allows the client to identify safe exits, plan for transportation, and anticipate obstacles, which is a central component of an effective safety plan for partner violence.

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A nurse is reinforcing teaching with the parent of an infant who is receiving furosemide. The nurse should reinforce with the parent that which of the following laboratory tests will be monitored while the infant is receiving this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering a cleansing enema to a client who reports mild cramping during instillation of the solution. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about a safety plan for a client who reports partner violence. Which of the following instructions should the nurse Include?

Correct Answer is D

Explanation

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