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:

Neurogenic Dysphagia

Difficulty in swallowing caused by disorders of the nervous system.

Muscular Dystrophy

A group of genetic diseases characterized by progressive weakness and degeneration of the skeletal muscles that control movement.

Myasthenia Gravis

A chronic autoimmune disorder characterized by weakness of the skeletal muscles.

ChooseMyPlate

A nutrition guide published by the USDA, emphasizing the importance of portion control and a balanced diet consisting of fruits, vegetables, grains, protein, and dairy.