Question

The nurse is caring for a client receiving IV Lasix for acute renal failure. Which of the following findings should the nurse report to the healthcare provider?

1) Dependent sacral edema
2) 24 hour urine output of 2500 mL
3) Serum Potassium level of 5.1 mEq/dL
4) Arterial blood pH of 7.50

Answer 1

The nurse should report the arterial blood pH of 7.50 to the healthcare provider immediately, as it indicates alkalosis, which requires medical attention.

Step-by-step explanation:

In the scenario where a nurse is caring for a client receiving IV Lasix for acute renal failure, the finding that should be immediately reported to the healthcare provider is an arterial blood pH of 7.50. A normal blood pH range is typically 7.35 to 7.45, so a pH of 7.50 indicates alkalosis, which is a potentially serious condition requiring medical attention. Dependent sacral edema is expected with renal failure, a 24-hour urine output of 2500 mL is within a normal range after diuretic therapy, and a serum potassium level of 5.1 mEq/dL, while on the higher end of normal, is not typically an immediate concern following Lasix administration, as Lasix can cause potassium loss.