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A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

A.

Decreased excretion of urine sodium.

B.

Increased urinary output.

C.

Decreased serum glucose.

D.

Increased blood pressure.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Decreased excretion of urine sodium is not an expected therapeutic effect of bumetanide. Bumetanide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle, leading to increased excretion of sodium and water.

 

Choice B rationale

 

Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes, which helps reduce fluid accumulation in conditions like ascites.

 

Choice C rationale

 

Decreased serum glucose is not associated with bumetanide. Bumetanide primarily affects fluid and electrolyte balance and does not have a significant impact on blood glucose levels.

 

Choice D rationale

 

Increased blood pressure is not an expected effect of bumetanide. On the contrary, bumetanide can help lower blood pressure by reducing fluid volume and decreasing the workload on the heart.

 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

CBC results are not directly related to the initiation of alendronate therapy.

Choice B rationale

Family history of colon cancer is not relevant to alendronate therapy.

Choice C rationale

Thyroid function is not directly related to alendronate therapy.

Choice D rationale

Pregnancy status should be assessed as alendronate is contraindicated during pregnancy.

Correct Answer is C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

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