The nurse is discussing safety when administering bumetanide with a nursing student. The nurse recognizes that the student understands side effects of this medication when the student makes which statement?*1 pointa. "The client's PT and INR may be prolonged while taking this medication."b. "The client may develop hypoglycemia during treatment."c. "Inverted T waves and a U wave may appear on the ECG."d. "I need to tell the client to avoid salt substitutes."
Question
The nurse is discussing safety when administering bumetanide with a nursing student. The nurse recognizes that the student understands side effects of this medication when the student makes which statement?*1 pointa. "The client's PT and INR may be prolonged while taking this medication."b. "The client may develop hypoglycemia during treatment."c. "Inverted T waves and a U wave may appear on the ECG."d. "I need to tell the client to avoid salt substitutes."
Solution
The correct answer is d. "I need to tell the client to avoid salt substitutes."
Bumetanide is a loop diuretic that helps your body get rid of extra water by increasing the amount of urine you make. Getting rid of extra water decreases the strain on your heart and blood vessels, thereby lowering high blood pressure and reducing swelling.
However, it can also cause your body to lose potassium, which is a mineral that your body needs to work normally. Salt substitutes often contain potassium, so using them while taking bumetanide could lead to high levels of potassium in your blood, which can be dangerous. Therefore, the student is correct in stating that they need to advise the client to avoid salt substitutes.
The other options are incorrect because:
a. Bumetanide does not affect PT and INR. These are measures of blood clotting, which is not affected by this medication.
b. Bumetanide does not cause hypoglycemia. It affects electrolyte levels, not blood sugar levels.
c. While bumetanide can affect electrolyte levels, which can in turn affect the heart, it does not specifically cause inverted T waves and a U wave on an ECG. These are specific changes that can be caused by a variety of heart conditions, not specifically by bumetanide.
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