ch 28

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created 2 years ago by unicyclebro99
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1

Before deciding whether the patient receives a diuretic, what are you looking for in your assessment of the patient?

  • assess potassium level
  • asses for drug interactions (look at each type of diuretic and know the selected drugs that interact)
  • assess past medical history (look for contraindications as specified for each drug)
  • assess weight for baseline
  • assess vital signs-look especially at blood pressure since diuretics decrease circulating volume, which can lower blood pressure
2

What would the nurse's plan include when using a diuretic?

  • patient will have balance intake and output ratios
3

What nursing interventions would the nurse use to minimize adverse effects when administering a diuretic?

  • monitor blood pressure throughout therapy
  • monitor for fluid retentions-edema, weight gain (weigh patient daily)
  • monitor intake of and output, looking at balance
  • monitor potassium levels and for signs of electrolyte imbalances
  • if giving furosemide intravenously, give at a rate no faster than 20 mg/min. If given too rapidly, furosemide can cause transient hearing loss
  • monitor for gout-like symptoms with loop and thiazide diuretics
  • check blood sugar more frequently in diabetic patient's prescribed loop or thiazide diuretics
4

What would the nurse ensure the patient understands when administering a diuretic?

  • teach to rise slowly in stages related to orthostatic hypotension(especially the elderly)
  • teach t either increase potassium intake (potassium wasting diuretics) or decrease potassium intake (potassium-sparing diuretics)
  • teach to weigh daily (in the same clothes at the same time, on the same scale) and record their weight and report weight gain of greater than 5 pounds in 2 days
  • teach diabetic patients that thiazide diuretics and loop diuretics cause hyperglycemia and may decrease the effectiveness of their antidiabetic medication
5

Which are indications for the use of diuretics?

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6

When providing patient teaching to, the nurse will include which dietary guidelines?

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7

When teaching a patient about diuretic therapy, which would the nurse indicate as the best time of day to take these medications?

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8

When monitoring a patent for hypokalemia related to diuretic use, the nurse looks for which possible symptoms?

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9

A patient with severe heart failure has been started on therapy with a carbonic anhydrase inhibitor (CAI), but the nurse mentions that this medication may be stopped in a few days. What is the reason for this short treatment?

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10

A patient has a new order for daily doses of spironolactone (Aldactone). Which condition, if present, may be a contraindication to this drug therapy?

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11

The nurse is reviewing the medications that have been ordered for a patient for whom a loop diuretic may have a possible interaction with which of the following?

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12

When monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for

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13

When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern?

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14

Which statement needs to be included when the nurse provides patient education for a patient with heart failure who is taking daily doses of spironolactone (Aldactone)

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15

A patient with diabetes has a new prescription for a thiazide diuretic. Which statement will the nurse include when teaching the patient about the thiazide drug?

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16

An elderly patient has been discharged following treatment for a mild case of heart failure. He will be taking a loop diuretic. Which instruction(s) from the nurse are appropriate?

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