The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?
I will have my potassium level checked.
I will have my calcium level checked.
I will have my prothrombin time checked.
I will have my urine sodium checked.
The Correct Answer is A
Choice A reason: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring potassium levels is important.
Choice B reason: While calcium levels can be affected by furosemide, it is not typically the primary concern.
Choice C reason: Prothrombin time is not usually affected by furosemide and is not routinely monitored unless the patient is on anticoagulant therapy.
Choice D reason: Urine sodium could be checked, but it is the serum potassium that is most commonly monitored due to the risk of hypokalemia with furosemide use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Electroconvulsive therapy (ECT) requires informed consent, as it is a significant medical procedure involving anesthesia and induced seizures. Informed consent is a process where a patient is fully informed about the procedures and risks involved in a treatment and voluntarily agrees to it.
Choice B reason: Nurses cannot share information with a client's family without the client's permission due to confidentiality laws, except in specific circumstances defined by law. Patient information is protected under the Health Insurance Portability and Accountability Act (HIPAA), which requires patient consent for disclosure.
Choice C reason: Patients have the right to refuse medication. This right is part of the patient's autonomy and informed consent process. A mentally competent adult can refuse treatment, even if it may result in serious illness or death.
Choice D reason: The use of restraints in mental health facilities is highly regulated. Restraints may only be used when necessary to prevent immediate harm to the patient or others and must be discontinued as soon as the risk of harm has subsided.
Correct Answer is B
Explanation
Choice A reason: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.
Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.
Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.
Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.
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