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
b. WBC Count
Iron
Amylase
The Correct Answer is A
Answer: A. Potassium
Rationale:
A) Potassium:
Furosemide is a loop diuretic that can cause significant potassium loss through increased urine output. Monitoring potassium levels is crucial to prevent hypokalemia, which can lead to serious cardiac arrhythmias and muscle weakness. Ensuring potassium levels remain within a normal range helps maintain the infant's overall health and safety while on this medication.
B) WBC Count:
While it is important to monitor WBC count in various clinical situations, furosemide does not typically affect white blood cell levels. Therefore, monitoring WBC count is not specifically indicated for infants receiving furosemide unless there is another underlying condition that requires it.
C) Iron:
Iron levels are not typically affected by furosemide. Monitoring iron levels would be more relevant in cases of anemia or other hematologic conditions. Furosemide does not interfere with iron metabolism, so this test is not a priority for infants on this medication.
D) Amylase:
Amylase is an enzyme related to the pancreas and is typically monitored in conditions such as pancreatitis. Furosemide does not have a direct effect on amylase levels, so monitoring this enzyme is not necessary for infants receiving this diuretic. The focus should be on electrolytes, particularly potassium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client with heart failure should limit their sodium intake. Bottled salad dressings can be high in sodium, so replacing them with homemade vinegar and oil dressing can help reduce sodium intake.
The other options are not recommended for a client with heart failure who needs to limit their sodium intake.
a) Prepared frozen dinners are often high in sodium.
b) Adding salt when preparing a meal would increase sodium intake.
c) Imitation crab and lobster products (option can also be high in sodium.
Correct Answer is C
Explanation
c. Weak cry
Explanation: In the context of a newborn with shoulder dystocia, a weak cry can be an indication of pain. Newborns communicate their discomfort or pain through crying, and a weak cry may suggest that the newborn is experiencing pain or distress.
Option a, lip-smacking, is not necessarily a specific indication of pain in this situation. Lip-smacking can
occur due to various reasons and may not solely indicate pain.
Option b, a stiff posture, may be more indicative of muscle tension or rigidity rather than pain in this
scenario.
Option d, tongue-darting, is not a specific indicator of pain in this context. Tongue-darting is a common behavior in newborns and may not be directly related to pain.
By recognizing a weak cry as a potential indication of pain in the newborn with shoulder dystocia, the nurse
can provide appropriate interventions and support to manage the newborn's pain and discomfort.
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