For which condition should a nurse monitor a client who is prescribed bumetanide?

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Monitoring for hypokalemia is critical for a client prescribed bumetanide because it is a loop diuretic that promotes significant diuresis and electrolyte loss, particularly potassium. Bumetanide works in the ascending loop of Henle to inhibit sodium and chloride reabsorption, leading to increased urine production. While this is beneficial for conditions like heart failure or fluid overload, it can also lead to decreased potassium levels in the blood, which is a common side effect of loop diuretics.

Hypokalemia can result in various complications, such as muscle weakness, cardiac arrhythmias, and increased susceptibility to digitalis toxicity if the client is taking digoxin. Thus, regular monitoring of serum potassium levels is essential to prevent these adverse effects and ensure safe management of the patient's condition.

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