The nurse administers furosemide IV to a patient with acute pulmonary edema. Which action is most important during administration?
Restrict the patient's fluid intake.
Ensure the patient voids before administration.
Administer the dose rapidly to achieve quick results.
Monitor the patient for tinnitus.
The Correct Answer is D
(A) Restrict the patient’s fluid intake: Fluid restrictions are important but not the priority during administration. Monitoring for adverse effects like ototoxicity is more critical.
(B) Ensure the patient voids before administration: Furosemide is a diuretic, but voiding before administration is not required.
(C) Administer the dose rapidly to achieve quick results: Rapid IV push can cause ototoxicity and hypotension. It should be given slowly over 1-2 minutes.
(D) Monitor the patient for tinnitus: High-dose or rapid IV administration of furosemide can cause ototoxicity, leading to tinnitus and hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Include foods rich in potassium in the diet: Torsemide is a loop diuretic, which increases potassium excretion and may cause hypokalemia, requiring potassium supplementation.
(B) Increase calcium-rich foods: Torsemide primarily affects potassium, not calcium.
(C) Restrict fluid intake to 500 mL/day: Fluid restrictions may be necessary in severe heart failure, but 500 mL/day is too restrictive unless specifically indicated.
(D) Restrict foods rich in potassium in the diet: Torsemide causes potassium loss, not retention, so restricting potassium would worsen hypokalemia.
Correct Answer is D
Explanation
(A) Sickle Cell Anemia: Follows incomplete dominance, where the heterozygous trait has a milder phenotype.
(B) Huntington’s Disease: Follows autosomal dominant inheritance, not co-dominance.
(C) Marfan Syndrome: Is an autosomal dominant disorder, not co-dominance.
(D) ABO Blood Type Inheritance: Co-dominance means both alleles are fully expressed. In ABO blood types, a person with AB blood has both A and B antigens expressed equally.
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