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A patient receiving furosemide for heart failure has muscle cramps and an irregular pulse. Which laboratory result would best support the suspected adverse effect?

Correct answer: A. Serum potassium of 2.9 mmol/L

  • A. Serum potassium of 2.9 mmol/L
  • B. Serum sodium of 140 mmol/L
  • C. Serum calcium of 2.3 mmol/L
  • D. Serum chloride of 102 mmol/L

Explanation

Furosemide increases urinary potassium loss, and hypokalaemia can cause muscle cramps and cardiac dysrhythmias. A potassium level of 2.9 mmol/L is low and requires prompt reporting; the other values are within common adult reference ranges.

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About Cardiovascular Nursing

Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.

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