The nurse is caring for a client receiving furosemide (Lasix) for ...

[kwoodring]

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

Question 2

Which medication is reserved for clients unable to tolerate the adverse effects of ACE inhibitors?
 
  1. Bumetanide (Bumex)
  2. Valsartan (Diovan)
  3. Lisinopril (Prinivil)
  4. Furosemide (Lasix)

[Cnarkel]

Answer to Question 1

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.

Answer to Question 2

2

Rationale 1:Bumetanide (Bumex) is a diuretic.
Rationale 2: Valsartan (Diovan) is reserved for clients unable to tolerate ACE inhibitor therapy. This medication is an ARB.
Rationale 3:Lisinopril (Prinivil) is incorrect because this medication is an ACE inhibitor.
Rationale 4: Furosemide (Lasix) is not reserved for clients unable to tolerate ACE inhibitors. This medication is a loop diuretic.

Global Rationale: Valsartan (Diovan) is reserved for clients unable to tolerate ACE inhibitor therapy. This medication is an ARB.Enalapril (Vasotec) is an ACE inhibitor. Bumetanide (Bumex) is a diuretic. Furosemide (Lasix) is a diuretic and is not reserved for clients unable to tolerate ACE inhibitors.

[kwoodring]

TYSM

[Joy Chen]

Excellent