護理師給予心衰竭病人呋塞米（furosemide），哪些發現需要採取護理措施？（選所有適合的）
A nurse is administering a dose of furosemide to a client with heart failure. Which findings require nursing intervention? (Select all that apply.)
- APotassium level of 2.8 mEq/L✓ 正解鉀離子濃度 2.8 mEq/L
- BBlood pressure of 100/60 mmHg血壓 100/60 mmHg
- CClient reports leg cramps✓ 正解病人主訴腿部抽筋
- DUrine output increase尿液排出量增加
- ESerum creatinine of 0.9 mg/dL血清肌酸酐 0.9 mg/dL
呋塞米為強力排鉀利尿劑。A：鉀離子 2.8 過低，屬嚴重電解質不平衡，必須給藥前停用並回報。C：腿部抽筋常是低血鉀症狀。B：血壓 100/60 雖低，但在心衰竭病人中通常可接受，除非病人出現症狀。D：利尿效果是預期結果。E：肌酸酐正常。
Furosemide is a potent potassium-wasting diuretic. A: a potassium level of 2.8 is markedly low and represents a severe electrolyte imbalance; the dose should be held and the provider notified before administration. C: leg cramps are a common manifestation of hypokalemia. B: a BP of 100/60 is low but generally acceptable in patients with heart failure unless the client is symptomatic. D: increased urine output is the expected diuretic response. E: the serum creatinine is normal.
美國對於電解質補充有更彈性的護理師監測規範；台灣通常需醫師開立補鉀醫囑。