Author Question: The client is taking furosemide (Lasix) 80mg twice a day. What condition should the nurse monitor ... (Read 67 times)

nelaaney · **on:** Jul 23, 2018

The client is taking furosemide (Lasix) 80mg twice a day. What condition should the nurse monitor this client for?

1. Hyperkalemia
2. Hypercalcemia
3. Hypokalemia
4. Hypocalcemia

Question 2

Which medication is used to increase red blood cell production in patients with renal failure?

1. Mannitol (Osmitrol)
2. Chlorthalidone (Hygroton)
3. Epoetin alfa (Epogen)
4. Methazolamide (Neptazane)

dyrone · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3

Rationale 1: The client should be monitored for hypokalemia.
Rationale 2: The client should be monitored for hypokalemia.
Rationale 3: Furosemide is a loop diuretic that can cause a decrease in serum potassium levels, so the client should be monitored for hypokalemia.
Rationale 4: The client should be monitored for hypokalemia.

Global Rationale: Furosemide is a loop diuretic that can cause a decrease in serum potassium levels, so the client should be monitored for hypokalemia. Loop diuretics do not cause hyperkalemia, hypercalcemia, or hypocalcemia.

Answer to Question 2

3

Rationale 1: Mannitol (Osmitrol) is an osmotic diuretic and does not increase RBC production.
Rationale 2: Chlorthalidone (Hygroton) is a thiazide-like diuretic and does not increase RBC production.
Rationale 3: Many patients with chronic renal failure will also have a deficiency of erythropoietin, a hormone secreted by the kidney. Erythropoietin serves as a primary signal to increase red blood cell production in the bone marrow. A synthetic form of erythropoietin, epoetin alfa (Epogen, Procrit), is effective in treating several disorders caused by a deficiency in red blood cells.
Rationale 4: Methazolamide (Neptazane) is a carbonic anhydrase inhibitor and does not increase RBC production.

Global Rationale: Many patients with chronic renal failure will also have a deficiency of erythropoietin, a hormone secreted by the kidney. Erythropoietin serves as a primary signal to increase red blood cell production in the bone marrow. A synthetic form of erythropoietin, epoetin alfa (Epogen, Procrit), is effective in treating several disorders caused by a deficiency in red blood cells. The other medications listed are not sure to increase red blood cell production.