A nurse is caring for a client prescribed Furosemide. Which … | MyMerci
MyMerci — full questions and rationale, freeStart for free
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?
1Notify the health care provider, prepare to administer flumazenil 0.2 mg IV push over 30 seconds, and continue to monitor vital signs every 15 minutes.
2Reposition the client to a semi-Fowler's position, apply a pulse oximeter, start oxygen via nasal cannula at 2 L/min, monitor respiratory rate, and recheck vital signs in 30 minutes.
3Administer supplemental oxygen via non-rebreather mask, place the client in the recovery position, monitor oxygen saturation continuously, and prepare for possible endotracheal intubation.✓ Correct answer
4Stop further opioid administration, stimulate the client and apply oxygen, prepare to administer naloxone 0.04 to 0.4 mg IV in titrated doses, and call the rapid response team.
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.
Stop opioid, stimulate and oxygenate, give naloxone in small titrated doses, and watch for renarcotization. POSS 4 plus RR 8 is the classic NCLEX picture for naloxone.