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A patient is receiving furosemide for pulmonary edema. Which potential side effects should the nurse monitor for? (Select all that apply)

A.

Hypokalemia

B.

Dehydration

C.

Hypertension

D.

Hypercalcemia

E.

Ototoxicity

Answer and Explanation

Correct Answer : A,B,E

(A) Hypokalemia: Furosemide is a loop diuretic that increases potassium excretion, leading to hypokalemia.

(B) Dehydration: Excessive diuresis can lead to dehydration.

(C) Hypertension: Furosemide lowers blood pressure; hypotension is a concern, not hypertension.

(D) Hypercalcemia: Furosemide increases calcium excretion, potentially causing hypocalcemia, not hypercalcemia.

(E) Ototoxicity: High-dose or rapid IV furosemide can cause hearing loss and tinnitus.


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Correct Answer is B

Explanation

Trousseau’s sign is a sign of hypocalcemia, not hypercalcemia. It occurs when inflating a blood pressure cuff causes carpal spasms due to increased neuromuscular excitability.

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