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    Ati Rn pharmacology proctored exam 2023

    A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?

    Explanation & Rationale

    A. Hypoglycemia: Furosemide does not typically cause hypoglycemia. Electrolyte imbalances and fluid shifts are the primary concerns with this loop diuretic, rather than effects on blood glucose. B. Blood pressure 138/86 mm Hg: This blood pressure is slightly elevated but does not indicate an adverse effect of furosemide. The medication is more likely to lower blood pressure, especially in clients with volume overload. C. Frequent premature ventricular contractions: Furosemide can cause hypokalemia, which increases the risk of cardiac arrhythmias such as premature ventricular contractions. Monitoring electrolytes is crucial to prevent potentially serious cardiac complications. D. Decrease in LDL cholesterol and triglycerides: Furosemide does not affect lipid levels. Changes in LDL cholesterol or triglycerides are unrelated to its mechanism of action.

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