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Author Question: An elderly patient with a history of heart failure has presented to the emergency department in ... (Read 113 times)

brutforce

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An elderly patient with a history of heart failure has presented to the emergency department in respiratory distress. Assessment reveals the presence of pulmonary edema, and an infusion of IV furosemide (Lasix) has been ordered.
 
  For the duration of treatment, the nurse should prioritize assessments related to what nursing diagnosis? A) Risk for deficient fluid volume related to diuretic administration
  B) Risk for decreased cardiac output related to adverse effects of furosemide
  C) Ineffective health maintenance related to pulmonary edema
  D) Functional urinary incontinence related to diuretic administration

Question 2

A patient is receiving furosemide (Lasix) and a potassium supplement. When monitoring daily laboratory values, what should the potassium level be for this patient?
 
  A) 1.5 to 3.0 mEq/L
  B) 3.5 to 5.0 mEq/L
  C) 5.0 to 7.5 mEq/L
  D) 6.0 to 6.5 mEq/L



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bitingbit

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Answer to Question 1

A
Feedback:
Increased diuresis creates a risk of deficient fluid volume. Impaired health maintenance and urinary incontinence are not priorities at this time. Lasix will not reduce cardiac output.

Answer to Question 2

B
Feedback:
The normal serum potassium level is 3.5 to 5.0 mEq/L. A serum potassium level of 1.5 to 3.0 mEq/L is too low. A serum potassium level of 5.0 to 7.5 mEq/L is indicative of hyperkalemia. A serum potassium level of 6.0 to 6.5 mEq/L is indicative of hyperkalemia.




bitingbit

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