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Author Question: The client is taking furosemide (Lasix) 80mg twice a day. What condition should the nurse monitor ... (Read 26 times)

nelaaney

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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)



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dyrone

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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.




nelaaney

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it


komodo7

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Reply 3 on: Yesterday
Excellent

 

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