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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 B

Explanation

Choice A rationale

Experiencing a rash while taking allopurinol is not harmless. It can be a sign of a serious allergic reaction, such as Stevens-Johnson syndrome or toxic epidermal necrolysis.

Choice B rationale

Increasing fluid intake is crucial when taking allopurinol. It helps to prevent kidney stones and ensures that uric acid is effectively excreted from the body.

Choice C rationale

Increasing dietary fiber intake is not specifically related to the use of allopurinol. While fiber is beneficial for overall health, it does not directly impact the effectiveness or safety of allopurinol.

Choice D rationale

Taking one dose every hour until the pain subsides is incorrect and dangerous. Allopurinol should be taken as prescribed by a healthcare provider, typically once or twice daily.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition.

Choice B rationale

Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors.

Choice C rationale

Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care.

Choice D rationale

Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing.

Choice E rationale

Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.

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