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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 ["A","B","C","E"]

Explanation

Choice A rationale


Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.


Choice B rationale


Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.


Choice C rationale


Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.


Choice D rationale


A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.


Choice E rationale


Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.

Correct Answer is A

Explanation

Choice A rationale

Asking the client to describe their concerns allows the nurse to understand the client’s perspective and address any misconceptions or fears they may have about the influenza immunization.

Choice B rationale

Contacting the provider is important but should be done after understanding the client’s concerns to provide a comprehensive report.

Choice C rationale

Providing education is essential but should follow understanding the client’s specific concerns to tailor the information effectively.

Choice D rationale

Documenting the refusal is necessary but should be done after addressing the client’s concerns and providing education.

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