A 65-year-old patient with a history of heart failure is prescribed furosemide. The nurse should closely monitor which electrolyte imbalance associated with loop diuretics?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hyponatremia
E) Hypercalcemia
Rationale: Loop diuretics such as furosemide are known for promoting the excretion of potassium in the urine, leading to hypokalemia. This electrolyte imbalance can result in various complications, including cardiac dysrhythmias. Monitoring potassium levels is crucial in patients taking loop diuretics to prevent adverse effects on cardiac function.
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Understanding the Loop Diuretics: NCLEX Priority Questions
A patient receiving furosemide therapy reports dizziness and lightheadedness upon standing. The nurse should instruct the patient to:
A) Increase fluid intake
B) Stand up slowly
C) Consume a high-sodium diet
D) Take the medication on an empty stomach
E) Skip the next dose if symptoms persist
Rationale: Orthostatic hypotension is a common side effect of loop diuretics. Instructing the patient to stand up slowly helps minimize the risk of dizziness and lightheadedness. This advice promotes patient safety and adherence to the medication regimen.
Understanding the Loop Diuretics: NCLEX Dosage Questions
A 55-year-old patient with hypertension is prescribed furosemide. The nurse should assess for which condition that may indicate a potential adverse effect of the medication?
A) Bradycardia
B) Tinnitus
C) Increased urine output
D) Weight gain
E) Decreased blood pressure
Rationale: Tinnitus is associated with ototoxicity, a potential adverse effect of loop diuretics like furosemide. Regular monitoring for auditory changes is essential to identify early signs of ototoxicity. Prompt recognition of such adverse effects allows for timely intervention and adjustment of the medication plan to prevent further complications.
Understanding Loop Diuretics: Nursing Practice
A 70-year-old patient with a history of congestive heart failure is prescribed furosemide. The nurse should prioritize assessing which laboratory value before administering the medication?
A) Serum creatinine
B) Serum sodium
C) Blood glucose
D) White blood cell count
E) Serum potassium
Rationale: Before administering loop diuretics like furosemide, it is crucial to assess the patient’s renal function. Loop diuretics work primarily in the loop of Henle in the kidneys, and impaired renal function can affect drug clearance. Monitoring serum creatinine levels helps ensure the medication is appropriately dosed to prevent potential adverse effects related to renal impairment.
NCLEX Practice Questions: Understanding Uses of Loop Diuretics Causes and Symptoms
A patient receiving furosemide therapy develops muscle cramps and weakness. The nurse should assess for which electrolyte imbalance associated with loop diuretics?
A) Hyperkalemia
B) Hypokalemia
C) Hypermagnesemia
D) Hypocalcemia
E) Hypernatremia
Rationale: Loop diuretics like furosemide increase the excretion of potassium in the urine, leading to hypokalemia. Low potassium levels can result in muscle cramps and weakness. Regular monitoring of electrolyte levels, especially potassium, is essential to detect and address imbalances promptly and prevent complications.
NCLEX Questions: Focus on Medications Loop Diuretics
A patient with hypertension is prescribed furosemide. The nurse should educate the patient about the importance of maintaining an adequate intake of which nutrient to prevent potential complications?
A) Sodium
B) Calcium
C) Potassium
D) Magnesium
E) Phosphorus
Rationale: Loop diuretics, including furosemide, can lead to potassium loss through increased urinary excretion. Educating the patient about maintaining an adequate intake of potassium-rich foods or supplements is essential to prevent hypokalemia. This helps mitigate the risk of adverse effects on cardiac function, muscle strength, and overall patient well-being.
NCLEX Focus Exploring Loop Diuretics
60-year-old patient with a diagnosis of heart failure is prescribed furosemide. The nurse should instruct the patient to report which potential adverse effect associated with loop diuretics?
A) Constipation
B) Tinnitus
C) Weight gain
D) Bradycardia
E) Hypertension
Rationale: Tinnitus is a symptom associated with ototoxicity, a potential adverse effect of loop diuretics like furosemide. Regular monitoring for auditory changes, including tinnitus, is crucial to identify early signs of ototoxicity. Prompt recognition allows for timely intervention and adjustment of the medication plan to prevent further damage to the auditory system.
NCLEX Review: Loop Diuretics Treatments
A patient receiving furosemide therapy presents with muscle weakness and lethargy. The nurse should assess for which electrolyte imbalance commonly associated with loop diuretics?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypomagnesemia
E) Hyponatremia
Rationale: Loop diuretics can lead to the loss of magnesium through increased urinary excretion, resulting in hypomagnesemia. This electrolyte imbalance can manifest as muscle weakness and lethargy. Regular monitoring of magnesium levels is essential to detect and address imbalances promptly and prevent complications such as neuromuscular dysfunction.
NCLEX Questions Critical Thinking: Loop Diuretics
A patient with hypertension is prescribed furosemide. The nurse should educate the patient about the importance of increasing the intake of which dietary component while taking the medication?
A) Sodium
B) Potassium
C) Calcium
D) Iron
E) Fiber
Rationale: Loop diuretics, including furosemide, promote the excretion of potassium in the urine, leading to hypokalemia. Educating the patient about maintaining an adequate intake of potassium-rich foods or supplements helps prevent electrolyte imbalances. This reduces the risk of adverse effects on cardiac function, muscle strength, and overall patient well-being.
A 70-year-old patient with renal insufficiency is prescribed furosemide for fluid management. The nurse should closely monitor which laboratory parameter to assess the effectiveness of the medication?
A) Serum sodium
B) Serum potassium
C) Serum creatinine
D) Blood glucose
E) Serum calcium
Rationale: Loop diuretics, including furosemide, act on the loop of Henle in the kidneys to promote diuresis. Monitoring serum creatinine levels is crucial to assess renal function and ensure that the medication is effectively managing fluid balance without compromising renal clearance. Adjusting the dosage based on renal function helps prevent potential adverse effects related to impaired kidney function.
