Chapter 28 - Diuretic Drugs

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Chapter 28 - Diuretic Drugs
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1

For a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor which laboratory test value?

  1. Chloride
  2. Calcium
  3. Glucose
  4. Sodium

C. Glucose

2

The nurse is providing education to a patient prescribed spironolactone (Aldactone) and furosemide (Lasix). What information does the nurse explain to the patient?

  1. This combination promotes diuresis but decreases the risk of low levels of potassium.
  2. This combination maintains water balance to protect against dehydration and electrolyte imbalance.
  3. The lowest dose of two different types of diuretics are more effective than a large dose of one type.
  4. Using two drugs increases blood osmolality and the glomerular filtration rate.

A. This combination promotes diuresis but decreases the risk of low levels of potassium.

3

Which laboratory test result is a common adverse effect of furosemide (Lasix)?

  1. Hypophosphatemia
  2. Hyperchloremia
  3. Hypokalemia
  4. Hypernatremia

C. Hypokalemia

4

Why does the health care provider prescribe furosemide (Lasix) 40 mg twice a day by mouth for a patient with a history of renal insufficiency?

  1. Furosemide has an antagonist effect to prevent respiratory alkalosis.
  2. Furosemide is effective in treating patients with hypoaldosteronism.
  3. Furosemide is effective in treating patients with impaired kidney function.
  4. Furosemide helps the kidney with reabsorption of sodium and water.

C. Furosemide is effective in treating patients with impaired kidney function.

5

The nurse would question the use of mannitol (Osmitrol) for which patient condition?

  1. Increased intraocular pressure
  2. Anuria related to end-stage kidney disease
  3. Cerebral edema from head trauma
  4. Oliguria from acute renal failure

B. Anuria related to end-stage kidney disease

6

When preparing to administer intravenous furosemide (Lasix) to a patient with renal dysfunction, the nurse will administer the medication no faster than which rate?

  1. 6 mg/min
  2. 4 mg/min
  3. 2 mg/min
  4. 8 mg/min

B. 4 mg/min

7

A patient asks the nurse about using potassium supplements while taking spironolactone (Aldactone). What is the nurse’s best response?

  1. “I would recommend that you take two multivitamins every day.”
  2. “This diuretic is potassium sparing, so there is no need for extra potassium.”
  3. “I will call your health care provider and discuss your concern.”
  4. “You will need to take potassium supplements for the medication to be effective.”

B. “This diuretic is potassium sparing, so there is no need for extra potassium.”

8

To treat a patient diagnosed with primary hyperaldosteronism, the nurse would expect to administer which diuretic?

  1. Acetazolamide (Diamox)
  2. Furosemide (Lasix)
  3. Hydrochlorothiazide (HydroDIURIL)
  4. Spironolactone (Aldactone)

D. Spironolactone (Aldactone)

9

To treat a patient with pulmonary edema, the nurse prepares to administer which diuretic to this patient?

  1. Amiloride (Midamor)
  2. Furosemide (Lasix)
  3. Spironolactone (Aldactone)
  4. Triamterene (Dyrenium)

B. Furosemide (Lasix)

10

To evaluate the therapeutic effects of mannitol (Osmitrol), the nurse should monitor the patient for which clinical finding?

  1. Decrease in intracranial pressure
  2. Decrease in serum osmolality
  3. Increase in urine osmolality
  4. Increase in cerebral blood volume

A. Decrease in intracranial pressure

11

When assessing a patient taking triamterene (Dyrenium), the nurse would monitor for which possible adverse effect?

  1. Hyperkalemia
  2. Hypoglycemia
  3. Hypernatremia
  4. Hypokalemia

A. Hyperkalemia

12

When teaching a patient about symptoms of hypokalemia, the nurse will instruct the patient to notify the health care provider if which symptom occurs?

  1. Diaphoresis
  2. Constipation
  3. Blurred vision
  4. Muscle weakness

D. Muscle weakness

13

A patient prescribed spironolactone (Aldactone) asks the nurse to assist with food choices that are low in potassium. The nurse would recommend which food choices? Select all that apply.

  1. Lean meat
  2. Winter squash
  3. Apples
  4. Bananas
  5. Pineapple

A. Lean meat

C. Apples

E. Pineapple

14

Acetazolamide (Diamox) is used to treat which conditions? Select all that apply.

  1. Open-angle glaucoma
  2. High-altitude sickness
  3. Dry eye syndrome
  4. Cardiac dysrhythmias
  5. Edema associated with heart failure

A. Open-angle glaucoma

B. High-altitude sickness

E. Edema associated with heart failure

15

Potassium-sparing diuretics may cause which common adverse reactions? Select all that apply.

  1. Dizziness
  2. Hyperkalemia
  3. Headache
  4. Muscle weakness
  5. Mental confusion

A. Dizziness

B. Hyperkalemia

C. Headache