A nurse is caring for a client prescribed Furosemide. Which … | MyMerci
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Medication AdministrationPPT
Question
A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regarding monitoring for hypokalemia, ototoxicity, and orthostatic hypotension?
1Aspirin 650 mg for hyperthermia initially, then IV propranolol for atrial fibrillation, plus external cooling and IV fluids; antithyroid medications are not indicated during thyroid storm.✓ Correct answer
2Administer high-dose IV propranolol 1 mg every 5 minutes for rate control, along with aggressive cooling and IV fluids; this beta blockade is sufficient without additional antithyroid drugs.
3Potassium iodide (SSKI) solution first to block release of preformed hormone, then methimazole 60 mg, followed by IV propranolol, IV hydrocortisone, external cooling, and IV fluids.
4PTU first to block synthesis and peripheral T4 to T3 conversion, then iodine 1 hour later to block release, plus IV propranolol for rate control, IV hydrocortisone, cooling, and IV fluids.
Explanation
When administering Furosemide, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.
Storm is treated with PTU then iodine then propranolol then hydrocortisone in that order, plus cooling and supportive care. The 1-hour separation between PTU and iodine and the avoidance of aspirin are the two NCLEX-favorite traps.