All Things Nursing

04/17/2026

04/13/2026

04/11/2026

04/03/2026

04/03/2026

Why Must Potassium Be Monitored When Patient Is On Furosemide?

04/01/2026

NGN Case Study 2: Infection & Kidney Function
Item Type: Unfolding Case Study
Focus: Antibiotics, Toxicity, Endocrine
Scenario:
A 55-year-old client with Type 2 Diabetes and Osteomyelitis is receiving Vancomycin and Gentamicin. The client is also scheduled for a CT scan with contrast dye tomorrow. Current medications include Metformin and Insulin Glargine.

Nurse Note 1400: Client is alert and oriented. Complains of ringing in ears (tinnitus). Skin is flushed on the neck and face. Urine output is 20mL/hr for the last 2 hours. Blood glucose is 110 mg/dL. Reports mild nausea.

1. Highlight the findings in the nurse's note that indicate potential medication toxicity.

2. Which laboratory values should the nurse prioritize reviewing before the next dose of Gentamicin and Vancomycin?
(Select "Priority" or "Not Priority" for each lab)
Lab Tests
a. BUN and Creatinine
b. TSH Level
c. Vancomycin Trough Level
d. Hemoglobin A1C
e. Liver Function Tests (AST/ALT)

3. The Vancomycin trough level returns at 22 µg/mL. What actions should the nurse take? (Select all that apply)

a. Administer the dose as scheduled.
b. Hold the dose and notify the provider.
c. Assess for Red Man Syndrome.
d. Encourage increased fluid intake.
e. Monitor for signs of nephrotoxicity.

4. Regarding the scheduled CT scan with contrast, the nurse anticipates holding the ____________ to prevent the risk of lactic acidosis.
(Select one)
a. Insulin Glargine
b. Metformin
c. Gentamicin
d. Vancomycin

5. The client's blood glucose drops to 55 mg/dL. Rank the interventions in order of priority.
a. Recheck blood glucose in 15 minutes.
b. Administer 15g of fast-acting carbohydrate (e.g., 4oz juice).
c. Assess level of consciousness.
d. Notify the provider if no improvement.

6. Complete the table regarding the Gentamicin therapy.
a. Potential Toxicity (Select One)
Hepatotoxicity
Ototoxicity
Hyperglycemia
b. Sign/Symptom to Monitor (Select One)
Hearing loss / Tinnitus
Blurred vision
Skin rash
c. Nursing Action (Select One)
Rinse mouth
Hold medication / Report
Apply cold compress

04/01/2026

NGN Case Study 1: The Cardiac Patient
Item Type: Unfolding Case Study
Focus: Cardiac Drugs, Diuretics, Electrolytes

Scenario:
A 68-year-old client is admitted with exacerbation of Heart Failure. The provider prescribes the following morning medications: Lisinopril 10mg PO, Metoprolol 25mg PO, and Furosemide 40mg IV. The nurse reviews the client's 0800 vital signs and laboratory results before administration.
0800 Data:
BP: 88/54 mmHg
HR: 58 bpm
RR: 18 breaths/min
Potassium (K⁺): 3.3 mEq/L
Sodium (Na⁺): 138 mEq/L
Creatinine: 1.1 mg/dL

Item 1 of 6: Recognize Cues (Matrix)
1. Which findings in the 0800 data are abnormal and require follow-up?
(Select "Yes" or "No" for each finding)

Findings
a. Blood Pressure 88/54 mmHg: Yes? No?

b. Heart Rate 58 bpm: Yes? No?

c. Potassium 3.3 mEq/L: Yes? No?

d. Sodium 138 mEq/L: Yes? No?

e. Respiratory Rate 18 breaths/min: Yes? No?

2. Based on the data, which medication(s) should the nurse HOLD and contact the provider about?
Lisinopril only
Metoprolol only
Furosemide only
Lisinopril, Metoprolol, and Furosemide
None of the medications

3. The provider orders a stat dose of oral potassium chloride. The nurse knows that administering potassium while the client is taking ____________ requires extra monitoring for hyperkalemia.
(Select one)
Metoprolol
Lisinopril
Furosemide
Omeprazole

4. The client suddenly complains of chest pain and shortness of breath 1 hour later. Rank the following actions in order of priority (1 = First, 4 = Last).
a. Administer sublingual nitroglycerin as prescribed.
b. Assess airway, breathing, and circulation (ABCs).
c. Obtain a 12-lead ECG.
d, Notify the healthcare provider.

5. After interventions, the nurse evaluates the effectiveness of the Furosemide. Which outcomes indicate the medication was effective?
(Select "Effective" or "Ineffective" for each finding)

Findings

a. Weight loss of 1 kg in 24 hrs: "Effective" or "Ineffective"

b. Potassium increases to 5.2 mEq/L: "Effective" or "Ineffective"

c. Decreased crackles in lung bases "Effective" or "Ineffective" :

d. Blood pressure drops to 80/50 mmHg: "Effective" or "Ineffective"

6. The nurse is preparing to administer Metoprolol. Complete the table by selecting the Condition, Action, and Parameter to Monitor.

a. Condition (When to Hold)
(Select One)
HR < 60 bpm
HR > 100 bpm
K⁺ < 3.5 mEq/L

b. Action
(Select One)
Administer half dose
Hold medication
Give with food

c. Parameter to Monitor
(Select One)
Blood Glucose
Respiratory Rate
Urine Output

03/18/2026

4 Types Of Wound Drainage Every Nurse Should Know

Not all wound drainage means the same thing.
Some indicate normal healing… others signal infection.

03/18/2026

08/19/2021

Use this to remember the side effects of Aspirin! ✍ ReMarNurse.com

You can. You will. You must, Pass NCLEX!