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:

Specific Gravity

The ratio of the density of a substance to the density of a reference substance, typically water, used to identify materials or test fluid conditions.

Tetrahedron

A polyhedron with four faces, typically each an equilateral triangle, making up one of the simplest geometrical shapes in three dimensions.

Octahedron

A polyhedron with eight faces.

Dodecahedron

A polyhedron with twelve flat faces, each face being a pentagon.