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Exhibits

Review the exhibits and click to mark whether each assessment finding represents a therapeutic result of the furosemide administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

  • Potassium 3.1 mEq/L
  • Prothrombin time/International normalized ratio (INR) 2.2
  • Urine output: 600 mL

A.

Potassium 3.1 mEq/L

B.

Prothrombin time/INR 2.2

C.

Urine output: 600 mL

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}

Based on the question and the known effects of furosemide, here’s how each assessment finding can be categorized:

  • Potassium 3.1 mEq/L: This is a non-therapeutic side effect. Furosemide is a diuretic that increases the excretion of water, sodium, and potassium from the body. This can lead to hypokalemia, or low potassium levels.
  • Prothrombin time/INR 2.2: This is likely an unrelated finding. Furosemide does not typically affect prothrombin time or INR. However, the patient is also taking warfarin, which is an anticoagulant known to increase INR.
  • Urine output: 600 mL: This is a therapeutic result. Furosemide works by increasing the amount of urine the body makes, which helps reduce swelling and symptoms of fluid retention.


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Related Questions

Correct Answer is ["1.32"]

Explanation

Step 1 is to convert the patient’s weight from pounds to kilograms. There are approximately 2.2046 pounds in 1 kilogram. So, the patient’s weight in kilograms is 132 lb ÷ 2.2046 = 59.87 kg.

Step 2 is to calculate the total dose of lorazepam the patient should receive. The prescribed dose is 44 mcg/kg. So, the total dose in micrograms is 44 mcg/kg × 59.87 kg = 2634.28 mcg.

Step 3 is to convert the total dose from micrograms to milligrams. There are 1000 micrograms in 1 milligram. So, the total dose in milligrams is 2634.28 mcg ÷ 1000 = 2.63428 mg.

Step 4 is to calculate the volume of lorazepam solution to administer. The concentration of the solution is 2 mg/mL. So, the volume in milliliters is 2.63428 mg ÷ 2 mg/mL = 1.31714 mL. Therefore, the nurse should administer approximately 1.32 mL of the lorazepam solution, rounding to the nearest hundredth as required.

Correct Answer is ["A","B","C"]

Explanation

Based on the provided information, the following notations require immediate follow-up:

  • Boggy fundus 1 cm above the umbilicus: A boggy (soft) fundus can indicate uterine atony, a condition in which the uterus fails to contract after delivery. This can lead to postpartum hemorrhage, a serious and potentially life-threatening condition.
  • Fundus rotated to the right: A displaced fundus can be a sign of a distended bladder, which can interfere with uterine contraction and lead to postpartum hemorrhage.
  • Blood pressure: 90/62 mm Hg: While this blood pressure isn’t extremely low, it is on the lower end of normal. Given the potential for postpartum hemorrhage indicated by the other findings, this should be monitored closely.

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