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?

A. Hypoglycemia. Furosemide is not typically associated with hypoglycemia. Instead, it can cause hyperglycemia as an adverse effect, especially with prolonged use. Therefore, low blood glucose is not an expected complication of this medication. B. Frequent premature ventricular contractions. Furosemide is a loop diuretic that can lead to the excretion of electrolytes, including potassium. Frequent PVCs can indicate electrolyte imbalances, particularly hypokalemia or hypomagnesemia, both of which are common adverse effects of furosemide. These imbalances can disrupt cardiac electrical conduction, increasing the risk of arrhythmias in heart failure patients. C. Decrease in LDL cholesterol and triglycerides. Furosemide does not reduce LDL cholesterol or triglyceride levels. In fact, it may cause slight increases in lipid levels in some clients. This option does not represent a known adverse effect of the drug. D. Blood pressure 138/86 mm Hg. While furosemide is given to reduce fluid overload and lower blood pressure in heart failure, a blood pressure of 138/86 mm Hg is not necessarily an adverse effect. It might even be the desired therapeutic effect. However, if the blood pressure dropped too low (hypotension), that would be an adverse effect.