Nokea
A nurse is collecting data from a client who takes furosemide daily for heart failure. Which of the following laboratory values should the nurse review before administering the medication?
- A. Erythrocyte sedimentation rate
- B. Thyroxine
- C. Serum potassium
- D. Serum aspartate aminotransferase
Correct Answer: C
Rationale: The correct answer is C: Serum potassium. Furosemide is a loop diuretic that can cause potassium depletion, leading to hypokalemia. Monitoring serum potassium levels is crucial to prevent complications such as cardiac arrhythmias. Erythrocyte sedimentation rate (A) is not relevant for assessing furosemide therapy. Thyroxine (B) is a thyroid hormone and not directly affected by furosemide. Serum aspartate aminotransferase (D) is a liver enzyme and not specifically impacted by furosemide administration.
You may also like to solve these questions
A nurse is reinforcing teaching with a client who has motion sickness and a new prescription for a transdermal patch of scopolamine. The nurse should instruct the client to monitor for which of the following adverse effects?
- A. Diarrhea
- B. Bruising
- C. Jaundice
- D. Drowsiness
Correct Answer: D
Rationale: The correct answer is D: Drowsiness. Scopolamine is an anticholinergic medication commonly used to treat motion sickness. One of the common side effects of anticholinergics is drowsiness. This occurs due to the central nervous system depressant effects of the medication. Monitoring for drowsiness is important as it can impact the client's ability to drive or operate machinery safely.
A: Diarrhea is not a common side effect of scopolamine.
B: Bruising is not a common side effect of scopolamine.
C: Jaundice is not a common side effect of scopolamine.
A nurse is collecting data from a client who is taking ferrous sulfate. The nurse should report which of the following findings as an adverse effect of this medication?
- A. Tinnitus
- B. Hot flashes
- C. Diplopia
- D. Epigastric pain
Correct Answer: D
Rationale: The correct answer is D: Epigastric pain. Ferrous sulfate is an iron supplement commonly known to cause gastrointestinal side effects, such as epigastric pain, nausea, and constipation. The rationale behind this is that iron can irritate the stomach lining, leading to discomfort or pain in the epigastric region. Tinnitus (A), hot flashes (B), and diplopia (C) are not typically associated with ferrous sulfate administration. Tinnitus is more commonly linked to aspirin toxicity, hot flashes are often related to hormonal changes, and diplopia is a symptom of various neurological conditions. Thus, the nurse should report epigastric pain as a potential adverse effect of ferrous sulfate.
A nurse is reinforcing teaching with a client who has diabetes mellitus and takes insulin glargine and insulin aspart. Which of the following actions indicates that the client understands the instructions?
- A. The client administers insulin glargine at the same time every day.
- B. The client mixes insulin aspart and insulin glargine in the same syringe.
- C. The client administers insulin aspart 30 min before breakfast.
- D. The client stores open vials of insulin glargine at room temperature for 60 days.
Correct Answer: A
Rationale: The correct answer is A. Administering insulin glargine at the same time every day helps maintain consistent blood sugar levels due to its long-acting nature. Mixing insulin aspart and glargine is incorrect as they have different onset and duration of action. Administering insulin aspart 30 min before breakfast may not align with the client's meal timing. Storing open vials of insulin glargine at room temperature for 60 days exceeds the recommended storage duration, risking potency and efficacy.
A nurse is reinforcing teaching with a client who has a new prescription for naproxen. Which of the following is a potential adverse effect that the nurse should instruct the client to report to the provider?
- A. Increased energy levels
- B. Black, tarry stools
- C. Improved appetite
- D. Mild headache
Correct Answer: B
Rationale: The correct answer is B: Black, tarry stools. This is a potential adverse effect of naproxen, indicating gastrointestinal bleeding. It is crucial to report this to the provider immediately to prevent serious complications. Increased energy levels (A), improved appetite (C), and mild headache (D) are common side effects of naproxen and do not require immediate medical attention. The priority is to address potential serious adverse effects like gastrointestinal bleeding.
A nurse is preparing to administer amoxicillin 75 mg/kg/day divided equally every 8 hr to a child who weighs 20 kg. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL
Rationale: To calculate the dose, first, determine the total daily dose: 75 mg/kg/day x 20 kg = 1500 mg/day. Then, divide this by the number of doses per day (3) to get 500 mg per dose. Next, convert this to mL using the concentration of the oral suspension (250 mg/5 mL). 500 mg ÷ 250 mg/5 mL = 10 mL. Therefore, the correct answer is 10 mL.
Choice A is incorrect as it doesn't follow the correct calculation steps. Choices B-G are incorrect as they do not accurately calculate the correct dose based on the child's weight and the concentration of the oral suspension.