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Furosemide is a loop diuretic, that is potassium wasting. The patient should increase potassium intake, weight

daily and record weight, and rise slowly in stages to prevent orthostatic hypotension. Furosemide is normally prescribed for the morning to help decrease nocturia. Increasing salt intake will increase fluid retention, which will cause decreased effectiveness of the diuretic.

 

IncorrectQuestion 7

0 / 10 pts

Prior to assuming care on a client, you review the client's medical records found below.

Admitting diagnosis: Hypertensive crisis, tachycardia

Past medical history: Hypertension, atrial fibrilation

Past surgical history: None

Admitting Medication orders:

Lisinopril 20 mg PO daily

Aspirin 81 mg PO daily Spironolactone 50 mg PO every morning

Metoprolol 25 mg PO BID

Hydralazine 20 mg IV push Q 1-hour PRN SBP greater than 150 or DBP greater than 100.

Lab data and Vital Signs:

Vital signs

Temperature

98.5

Blood pressure

210/120

Pulse

130

Respiratory Rate

18

Chemistry Panel

Sodium

141 mEq/ L

Potassium

5.5 mEq/ L

Chloride

104 mEq/ L

Bicarbonate

20 mEq

BUN

55 mg/ dL

Creatinine

2.5 mg/dL

Calcium

8.7 mEq/L

Glucose

105 mg/dL

Based on the data listed above, what medication orders should the nurse question? SELECT ALL THAT APPLY

  

Spironolactone

 

  

Metoprolol

 

  

Lisinopril

 

  

Hydralazine

 

  

Aspirin

 

 

 

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