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FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

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Lindsey is a 48-year-old female who was recently diagnosed with pulmonary edema. Furosemide, given via the tablet route, is ordered for the client. The NP caring for the client reviews Lindsey's chart and finds out she is also called to take digoxin. Which of the following is the priority action of the nurse?

  1. Check the client’s most recent potassium level.
  2. Check the client’s pulse rate.
  3. Contact the physician and verify the order.
  4. Check the client’s creatinine levels.
  5. All of the above
Explanation

Answer: A - The NP should check for the client’s potassium level. A client on furosemide therapy has an increased risk for hypokalemia. The risk of developing digoxin toxicity increases with hypokalemia. Insufficient potassium levels in the blood can also increase the client’s risk for ventricular dysrhythmias. The NP will need to take action if the client’s serum potassium level is below the normal range.

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