The nurse is assessing a client at the emergency department. Based on the information collected, what is a possible differential? Click the exhibit button for additional information. Cassidy RhodyID: 112703 ExhibitClient ProfileAdmission NotesGastrointestinal AssessmentMedical History: Congestive heart failure for 2 years, Bell's Palsy diagnosed 7 days agoMedications: Furosemide (taken daily) for CHF and prednisone (tapering dose) for Bell's PalsyAllergies: Penicillin CloseExhibitQuestion 33Select one:1.Hyponatremia2.Hypernatremia3.Hyperkalemia4.Hypercalcemia
Question
The nurse is assessing a client at the emergency department. Based on the information collected, what is a possible differential? Click the exhibit button for additional information. Cassidy RhodyID: 112703 ExhibitClient ProfileAdmission NotesGastrointestinal AssessmentMedical History: Congestive heart failure for 2 years, Bell's Palsy diagnosed 7 days agoMedications: Furosemide (taken daily) for CHF and prednisone (tapering dose) for Bell's PalsyAllergies: Penicillin CloseExhibitQuestion 33Select one:1.Hyponatremia2.Hypernatremia3.Hyperkalemia4.Hypercalcemia
Solution
Based on the information provided, the client has a history of Congestive Heart Failure (CHF) and is currently taking Furosemide, a diuretic medication. Diuretics like Furosemide can cause electrolyte imbalances, particularly they can lead to a decrease in the levels of sodium and potassium in the body. Therefore, a possible differential diagnosis could be Hyponatremia (option 1), which is a condition characterized by low sodium levels in the blood.
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