A patient is taking bumetanide (Bumex). What is the most important for the nurse to monitor in this patient?
a. Skin turgor
b. Temperature
c. Sacral edema
d. Muscle weakness
ANS: D
Hypokalemia can occur with bumetanide (potassium-wasting diuretic), which is why potassium levels are monitored before administration of the medication. Mild hypokalemia is often asymptomatic but can cause a rise in blood pressure or cardiac dysrhythmias. Moderate hypokalemia can cause muscle weakness, muscle cramping, and constipation. A. A change in skin turgor could indicate dehydration however this is not the most important for the nurse to monitor in this patient. B. C. These findings do not indicate an adverse effect of the medication.
You might also like to view...
The nurse is preparing to insert an IV in a 16-year-old client. Appropriate IV insertion sites include: Standard Text: Select all that apply
1. Scalp veins. 2. Dorsal hand veins. 3. Dorsal foot veins. 4. Forearm veins. 5. Cephalic vein.
In most primigravida clients, lightening occurs about 2 weeks before the onset of labor. At this time, the mother notices which of the following symptoms?
A) Urinary frequency, dyspnea, leg discomfort B) Dyspnea, constipation, dysuria C) Constipation, dysuria, abdominal pain D) Leg discomfort, urinary frequency, easier breathing
What should a nurse caution a patient taking Flagyl for Trichomonas to do?
a. Double the dose if any doses are missed. b. Report dark urine. c. Take the drug on an empty stomach. d. Abstain from alcohol while taking the drug.
You are caring for a 58-year-old woman who had a bilateral mastectomy 48 hours ago. When you meet the patient she tells you that her husband will not attend the discharge teaching meeting as planned
She also mentions that he has not been to the hospital since the surgery. Which of the following responses by the nurse practicing family-focused care is most appropriate? 1. "Can you tell me more about your family and how your hospitalization has affected them?" 2. "We may be able to reschedule the meeting—I'll check with the discharge planner." 3. "Did the admitting nurse create a genogram of your family?—it might help if I took a look at it." 4. "Will you be able to manage your care alone at home, or is there someone else I should call?"