The nurse is caring for a client receiving furosemide (Lasix) for heart failure. What symptoms will the nurse monitor while the client is receiving this medication?
1. Symptoms of hypernatremia
2. Symptoms of increased WBCs
3. Symptoms of anemia
4. Symptoms of hypokalemia
4
Rationale 1:Hypernatremia is not associated with furosemide.
Rationale 2:Symptoms of increased WBCs is incorrect because this is not a side effect of loop diuretics.
Rationale 3:Symptoms of anemia is incorrect because this is not a side effect of loop diuretics.
Rationale 4: Furosemide is a loop diuretic that causes hypokalemia.
Global Rationale: The most common adverse effects from diuretic therapy are electrolyte imbalances on potassium levels. Hypokalemia is the most common adverse effect. Patients should receive a potassium supplement to prevent this adverse effect.
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Dysrhythmias can be fatal to a client during the acute phase following a myocardial infarction. The nurse understands that the primary cause of this event is due to which of the following?
A) Effects on depolarization and repolarization of the myocardial cells B) Arterial spasms are common after a myocardial infarction. C) After a myocardial infarction, leukocytosis occurs. D) Scar tissue has replaced healthy cardiac tissue.
A nurse wants to provide opportunities for a patient to try out new, more assertive behaviors. Which technique should the nurse use?
a. Clarifying b. Role-playing c. Giving feedback d. Encouraging evaluation
The nurse is providing a bath for a patient at risk of deep vein thrombosis. Which technique should the nurse use?
a. Use short, light strokes when washing the legs. b. Use long, firm strokes when washing the legs. c. Use circular strokes up and down the legs. d. Pat the legs gently with a warm, wet washcloth.
A patient at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula-feeding and breastfeeding
Which statements by the patient indicate that the teaching was successful? 1. "Formula-feeding gives the baby protection from infections." 2. "Breast milk cannot be stored; it has to be thrown away after pumping." 3. "Breastfeeding is more expensive than formula-feeding." 4. "My baby will have a lower risk of food allergies if I breastfeed."