While Performing an Admission Assessment on a Patient, the Nurse

question 7

Multiple Choice

While performing an admission assessment on a patient, the nurse learns that the patient is taking furosemide [Lasix], digoxin, and spironolactone [Aldactone]. A diet history reveals the use of salt substitutes. The patient is confused and dyspneic and complains of hand and foot tingling. Which is an appropriate nursing action for this patient?

• A) Contact the provider to request orders for an electrocardiogram and serum electrolyte levels.
• B) Evaluate the patient's urine output and request an order for intravenous potassium.
• C) Hold the next dose of furosemide and request an order for intravenous magnesium sulfate.
• D) Request an order for intravenous insulin to help this patient regulate extracellular potassium.

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Definitions:

ATM

An Automated Teller Machine, a banking terminal that allows customers to perform financial transactions, such as cash withdrawals and deposits, without the need for a human cashier.

Debit

To deduct, to charge; a charge added to existing balance.

Personal Identification Number

A unique numerical code used in securing access to accounts or systems, often a password or security measure.

Payee's Signature

The signature of the individual or entity entitled to receive payment on a financial document, such as a check.