A 53-year-old presented in the emergency department reporting shortness of breath, fatigue, and abdominal bloating with pain over the last 4 days….

Question A 53-year-old presented in the emergency department reporting shortnessof breath, fatigue, and abdominal bloating with pain over the last 4 days. The client received furosemide 40 mg IV and supplemental oxygen prior to transfer to the cardiac intensive care unit.Admission Laboratory ValuesLaboratory TestNormal RangePatient ValueSerum Potassium3.5 to 5.0 mEq/L4.4 mEq/LSerum Creatinine 41 to 61 yearsMale 0.6 to 1.3 mg/dLFemale 0.5 to 1.1 mg/dL1.46 mg/dLBUN Blood Urea Nitrogen10 to 20 mg/dL27 mg/dLSerum Sodium135 to 145 mEq/L139 mEq/LDuring the first 24 hours of admission, an additional dose of furosemide 40 mg was administered that resulted in 2400 mL of urine output. Client reported a lessening of dyspnea as well as an improvement of abdominal symptoms. Home medications including hydrochlorothiazide, spironolactone, carvedilol, and lisinopril were continued as previously prescribed.Subsequent Laboratory Values (24 hours Later)Laboratory TestNormal RangePatient ValueSerum Potassium3.5 to 5.0 mEq/L3.8 mEq/LSerum Creatinine41 years to 61 yearsMale 0.6 to 1.3 mg/dLFemale 0.5 to 1.1 mg/dL1.87 mg/dLBUNBlood Urea Nitrogen10 to 20 mg/dL27 mg/dLSerum Sodium135 to 145 mEq/L142 mEq/LBased on the comparison of admission and subsequent laboratory values, ___1___ presents a major concern for ___2 _____ and requires ___3 ____ (Please fill in the blanks)Laboratory Values (Option 1)Concern (Option 2)Required Intervention (Option 3)A. Serum PotassiumA. Increase in glomerular filtrationA. Discontinuation of lisinopril B. Serum CreatinineB. The onset of acute kidney injuryB. Decrease of hydrochlorothiazide dosage C. BUNC. Exacerbation of hypertensionC. Decrease of spironolactone dosageD. Serum SodiumD. Exacerbation of congested heart failure (CHF)D. Discontinuation of furosemide Health Science Science Nursing NURSING NSG430 Share QuestionEmailCopy link Comments (0)