A nurse is caring for a client in the emergency department. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown
Explanation & Rationale
Hypokalemia: The client is receiving high-dose furosemide, a loop diuretic, which promotes significant excretion of potassium in urine. This puts the client at high risk for hypokalemia, which can cause muscle weakness, arrhythmias, and fatigue—especially dangerous in someone with heart failure. Hypotension: Furosemide also causes fluid volume loss, which can lead to decreased blood pressure. This client already shows signs of fluid overload, and rapid diuresis could result in hypotension, especially in an older adult or one with compromised cardiovascular status. Rationale for Incorrect Options: • Hypoglycemia: Furosemide does not typically cause low blood glucose. • Hypercalcemia: Loop diuretics like furosemide actually cause calcium loss, so hypocalcemia, not hypercalcemia, is a more likely risk. • Hypernatremia: While possible with dehydration, hyponatremia is actually more common with diuretics due to water loss exceeding sodium loss.