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A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

A.

Acyclovir 400 mg PO twice daily

B.

Furosemide 80 mg PO daily

C.

Cimetidine 300 mg PO four times per day

D.

Meloxicam 5 mg PO once daily

Answer and Explanation

The Correct Answer is B

Furosemide is a loop diuretic commonly prescribed for conditions such as hypertension and edema. One of the side effects of furosemide is the increased excretion of potassium in the urine, which can lead to low potassium levels in the body, known as hypokalemia. The other medications mentioned do not typically place the client at risk for hypokalemia: Acyclovir 400 mg PO twice daily: Acyclovir is an antiviral medication used to treat viral infections, such as herpes. It does not have a direct effect on potassium levels. Cimetidine 300 mg PO four times per day: Cimetidine is a histamine H2 receptor antagonist commonly used to reduce stomach acid production. It does not have a direct effect on potassium levels. 

Meloxicam 5 mg PO once daily: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief. It does not have a direct effect on potassium levels. 


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Related Questions

Correct Answer is ["1"]

Explanation

The nurse typically auscultates the abdomen for bowel sounds before meals or at least 1-2 hours after meals. This timing allows for the assessment of both the presence and character of bowel sounds. It is important to note that bowel sounds can vary depending on factors such as the client's activity level, diet, and any underlying gastrointestinal conditions. Therefore, a comprehensive assessment of bowel sounds should be conducted at different times to obtain an accurate representation of the client's bowel function.

Correct Answer is ["25"]

Explanation

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 100 ml

Drop factor: 60 gtt/ml

Time: 4 hr

First, we need to convert the time from hours to minutes:

4 hr * 60 min/hr = 240 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (100 ml * 60 gtt/ml) / 240 min

Simplifying the equation:

Infusion rate (gtt/min) = 6000 gtt / 240 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 25 gtt/min

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