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A 70-year-old male receiving high-dose IV furosemide for heart failure complains of ringing in his ears and dizziness. His current labs show normal potassium and sodium levels. What is the nurse's most appropriate intervention?

A.

Increase the infusion rate and check the patient's sodium levels again in 2 hours

B.

Administer potassium supplements and continue the infusion

C.

Reassure the patient that the symptoms are temporary and continue monitoring

D.

Stop the furosemide infusion and notify the provider

Answer and Explanation

The Correct Answer is D

A. Increasing the infusion rate may exacerbate the patient's symptoms and does not address the potential toxicity from the furosemide.  

 

B. Normal potassium levels indicate that potassium supplementation is unnecessary and does not address the dizziness and ringing in the ears, which could suggest ototoxicity from furosemide.  

 

C. While reassurance can help, the patient's symptoms indicate a potential adverse reaction to the medication that should not be ignored.  

 

D. Stopping the furosemide infusion and notifying the provider is the most appropriate action due to the risk of ototoxicity and the need for further evaluation of the patient's symptoms.


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View Related questions

Correct Answer is C

Explanation

A. Mottled skin is more indicative of the progressive or refractory stages of shock, where perfusion to the skin is severely compromised.

B. A heart rate of 160/min indicates tachycardia, which is common in shock but is not the most characteristic finding of the compensatory stage.

C. During the compensatory stage of shock, the body attempts to maintain blood pressure and perfusion, and a blood pressure of 115/68 mmHg suggests that compensatory mechanisms are still functioning adequately.

D. Hypokalemia is not a typical finding in the compensatory stage; rather, the body may exhibit signs of hyperkalemia due to tissue breakdown and acidosis.

Correct Answer is D

Explanation

A. Furosemide is a diuretic and is not indicated in the acute management of anaphylaxis.

B. Methylprednisolone is a corticosteroid that may be used later to reduce inflammation but is not the first-line treatment in anaphylaxis.

C. Dobutamine is a medication used to treat heart failure and shock but does not address the acute allergic reaction.

D. Epinephrine is the first-line treatment for anaphylactic shock, as it acts quickly to reverse severe allergic reactions by causing vasoconstriction, bronchodilation, and inhibiting further release of mediators from mast cells.

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