/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 95 The client is admitted with a BP... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 1: Problem 95

The client is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client? A. By giving it over 1-2 minutes B. By hanging it IV piggyback C. With normal saline only D. By administering it through a venous access device

Short Answer

Expert verified
Answer: In this situation, the most appropriate method to administer furosemide (Lasix) 40mg IV stat is to give it over 1-2 minutes. This ensures rapid action of the medication, helping to quickly lower the client's high blood pressure.

Step by step solution

01

Understand the situation

The client has a high blood pressure of 210/120 and has been prescribed furosemide (Lasix) 40mg IV (intravenous) stat. It is important for the nurse to administer the medication safely and effectively. The available options are: A) Giving it over 1-2 minutes, B) Hanging it IV piggyback, C) With normal saline only, or D) Administering it through a venous access device.
02

Know the medication - Furosemide (Lasix)

Furosemide is a loop diuretic that helps remove excess fluid from the body by increasing the production of urine. It is commonly used to treat high blood pressure and other conditions, such as congestive heart failure and edema. It is important to administer the medication rapidly when it is prescribed as an IV for high blood pressure, in order to quickly reduce the pressure.
03

Evaluate the options for administration

Let's go through the options one by one: A) Giving it over 1-2 minutes: This method involves rapidly administering the furosemide into the IV line. It is the most appropriate option for this situation, as it allows the medication to act quickly, helping to lower the client's high blood pressure. B) Hanging it IV piggyback: This method consists of attaching a secondary IV bag containing the furosemide to the client's existing IV line. It is not the best option for this situation because it generally takes much longer than 1-2 minutes to administer the medication. C) With normal saline only: This option refers to diluting the furosemide in a normal saline solution before administering it. However, it does not specify the method or rate of administration, and thus does not present a complete solution. D) Administering it through a venous access device: A venous access device (such as a central line or PICC line) allows for direct access to the client's bloodstream. While it can be used to administer furosemide, it is not the only method available, and it does not provide information about the rate of administration.
04

Select the appropriate method for administration

Based on the analysis, option A, giving the furosemide over 1-2 minutes, is the most appropriate method to administer the prescribed furosemide in this situation. This ensures rapid action of the medication, helping to quickly lower the client's high blood pressure.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Furosemide Administration
Furosemide, often known by its brand name "Lasix," is a powerful loop diuretic used extensively in the medical field to assist in the elimination of excess fluids. This diuretic promotes increased urine production, helping to decrease both volume overload and high blood pressure. Correct administration is crucial for ensuring the desired therapeutic effect and avoiding potential side effects. When furosemide is prescribed intravenously (IV), especially in urgent scenarios like acute hypertension (high blood pressure), the administration should be rapid but controlled. Administering furosemide over 1-2 minutes allows for a swift onset of action, making it easier to manage severe cases like the one described with a BP reading of 210/120. Here's the proper procedure for IV furosemide administration:
  • Check the patient's identity and confirm the doctor's order for dosage and method.
  • Ensure the medication is not expired and inspect the IV site for any signs of infection or inflammation.
  • Use a syringe to administer furosemide directly into the IV line over the specified time (1-2 minutes).
  • Observe the patient for any immediate adverse reactions like dizziness or dehydration.
Effective communication and continuous monitoring post-administration are key in mitigating any risks associated with administering furosemide.
Blood Pressure Management
Managing blood pressure is a critical component of treating patients with hypertension. Blood pressure management involves both lifestyle adjustments and pharmacological interventions, which are necessary to reduce the risk of cardiovascular complications. In acute cases, like the client with a blood pressure of 210/120, rapid pharmacological intervention is necessary. Administering IV medications such as furosemide can quickly decrease blood pressure. This method is particularly effective because it circumvents the gastrointestinal system and facilitates quick absorption into the bloodstream. Here are some key considerations for effective blood pressure management:
  • Regular monitoring of blood pressure to assess the effectiveness of the intervention.
  • Educating the patient about the importance of adhering to their medication schedule.
  • Encouraging lifestyle modifications, such as reducing sodium intake and performing regular physical activity, to sustain long-term control of blood pressure.
Effective management balances immediate treatment needs with long-term health strategies.
IV Medication Procedures
Intravenous (IV) medication administration requires precision and adherence to proper procedures to ensure patient safety and medication efficacy. Due to its direct delivery into the bloodstream, IV administration provides rapid therapeutic effects, which is crucial in emergency situations. Here's a step-by-step guide to safe IV medication administration:
  • Verify the correct medication and dosage against the physician鈥檚 order.
  • Perform hand hygiene and use aseptic techniques to maintain a sterile procedure.
  • Explain the procedure to the patient and obtain consent to ease their anxiety and ensure cooperation.
  • Access the IV site, ensuring proper function and patency of the IV line by flushing it with normal saline if needed.
  • Administer the medication at the prescribed rate, monitoring for any signs of adverse reactions or complications.
Proper IV medication procedures help avoid complications such as infiltration or phlebitis, while ensuring that medications like furosemide act quickly and effectively.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor: A. That cannot be assessed B. That is in situ C. With increasing lymph node involvement D. With distant metastasis

The licensed practical nurse is working with a registered nurse and a patient care assistant. Which of the following clients should be cared for by the registered nurse? A. A client 2 days post-appendectomy B. A client 1 week post-thyroidectomy C. A client 3 days post-splenectomy D. A client 2 days post-thoracotomy

Before administering Methytrexate orally to the client with cancer, the nurse should check the: A. IV site B. Electrolytes C. Blood gases D. Vital signs

An infant weighs 7 pounds at birth. The expected weight by 1 year should be: A. 10 pounds B. 12 pounds C. 18 pounds D. 21 pounds

A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis? A. "Tell me about his pain." B. "What does his vomit look like?" C. "Describe his usual diet." D. "Have you noticed changes in his abdominal size?"
See all solutions

Recommended explanations on Biology Textbooks

Reproduction

Read Explanation

Plant Biology

Read Explanation

Cellular Energetics

Read Explanation

Biology Experiments

Read Explanation

Substance Exchange

Read Explanation

Biological Structures

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.