The nurse administers bumetanide to a client with pulmonary edema. Which assessment would indicate that the client is experiencing an adverse response?A. Distended neck veinsB. Adventitious lung soundsC. Leg crampsD. Increase in urine output
Question
The nurse administers bumetanide to a client with pulmonary edema. Which assessment would indicate that the client is experiencing an adverse response?A. Distended neck veinsB. Adventitious lung soundsC. Leg crampsD. Increase in urine output
Solution
The adverse response to bumetanide, a potent diuretic, would be leg cramps (Option C). This is because diuretics like bumetanide can cause electrolyte imbalances in the body, particularly low potassium levels (hypokalemia), which can lead to symptoms like muscle cramping.
Here's a step-by-step breakdown:
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Understand the medication: Bumetanide is a loop diuretic, which means it helps the body get rid of excess fluid by increasing urine output. It's often used to treat conditions like pulmonary edema, where fluid builds up in the lungs.
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Know the common side effects: Common side effects of diuretics include increased urination, electrolyte imbalances, and dehydration.
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Match the side effects with the options: Among the options given, leg cramps (Option C) is a common symptom of electrolyte imbalances, particularly low potassium levels, which can be caused by diuretics like bumetanide.
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Eliminate other options: Distended neck veins (Option A) and adventitious lung sounds (Option B) are symptoms of conditions that bumetanide is used to treat, not side effects of the medication. An increase in urine output (Option D) is an expected effect of the medication, not an adverse response.
So, the correct answer is C. Leg cramps.
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