395 PrepU 14

When providing medication teaching to a client who has been prescribed spironolactone, what foods should the nurse instruct the client to avoid? fish crackers apples bananas

Bananas

The nurse is caring for a client who is experiencing elevated intracranial pressure following neurosurgery. The health care provider orders an osmotic diuretic to reduce pressure. Which medication would the nurse expect to be ordered? Mannitol Bumetanide Ethacrynic acid Spironolactone

Mannitol

A client is receiving hydrochlorothiazide. The nurse would expect to administer this drug by which route? Oral Intramuscular Intravenous Subcutaneous

Oral

An ED nurse is caring for a patient who is receiving furosemide for treatment of pulmonary edema. What will the nurse monitor to observe for adverse effects of the drug? Temperature Potassium levels Blood oxygen saturation Bone marrow function

Potassium levels

The nurse is providing health teaching to a client who is taking methenamine. What instruction would be most important to include for the client taking methenamine? "While you are taking this drug, limit your intake of foods high in sodium." "Limit your fluid intake to 26 oz per day." "Take sodium bicarbonate with the medication to make the urine alkaline." "Drinking cranberry juice will help acidify the urine."

"Drinking cranberry juice will help acidify the urine."

After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states: "I can still use my salt substitute if I want to." "I need to make sure I don't eat too many high potassium foods." "I need to take the drug on an empty stomach." "I should take the medicine around dinnertime for the best effect."

"I need to make sure I don't eat too many high potassium foods."

What statement by the client indicates that the client understands the nurse's teaching about diuretics? "I will take my medication before bedtime on an empty stomach." "I will weigh myself daily and report significant changes." "If my leg gets swollen again, I'll take an additional pill." "I will have to limit my high sugar foods."

"I will weigh myself daily and report significant changes"

A client is taking phenazopyridine and ciprofloxacin for a urinary tract infection. What is the most important instruction the nurse needs to provide to the client concerning this drug combination? "Be sure to take your medication with food if you have GI irritation." "If you notice yellowing of your eyes or skin contact your health care provider immediately." "Increase your fluid intake. Drink lots of water." "Do not be alarmed if your urine is a reddish-brown color."

"If you notice yellowing of your eyes or skin contact your health care provider immediately."

A nurse has educated a client about the drug phenazopyridine. Which client statement indicates clear understanding? "I will limit my fluid intake to meal times." "This drug has anti-infective results." "Pain relief should occur in a few days." "My urine could be reddish orange."

"My urine could be reddish orange."

A male client who takes dutasteride for benign prostatic hypertrophy calls the clinic. He says he tried to donate blood and was denied because of his medication. The client is very concerned about this and wants to know why this happened. What is the nurse's best response to the client? "It is dangerous for you to give blood because this medication makes you dizzy." "This medication can harm a developing fetus so your blood could be harmful if given to a pregnant woman." "Your blood is slightly thicker while you are on this medication and the blood donation equipment is unable to handle it." "Have you ever given blood before? This medication may make your veins harder to access for blood donation."

"This medication can harm a developing fetus so your blood could be harmful if given to a pregnant woman."

What is the nurse's best response when the client who has a confirmed urinary tract infection asks why the nurse is obtaining a urine sample for culture and sensitivity? "This test lets the health care provider know what medication will best treat the infection." "The test is needed to know that you are adequately hydrated." "This test is done to make sure that you are not pregnant." "This test tells the health care provider if the infection has traveled to your kidneys."

"This test lets the health care provider know what medication will best treat the infection."

A nurse is caring for a patient who is being administered phenazopyridine. The patient is distressed on seeing that the urine is exhibiting a reddish-orange discoloration. Which is the most appropriate response by the nurse? "You will need to increase your fluid intake." "I will have to notify the PHCP immediately." "You don't have to worry. This is normal with this medication." "We will have to conduct a urinalysis."

"You don't have to worry. This is normal with this medication."

A 10-year-old child has edema caused by a heart defect. The client is taking furosemide. The dosage is 3 mg/kg/d. The child weighs 76 lbs. How many milligrams does the child receive each day? 50 mg 20 mg 105 mg 210 mg

105 mg

A nurse is caring for a client with acute renal failure. The health care provider has prescribed a diuretic therapy for the client to promote dieresis. What intervention should the nurse perform to prevent the inconvenience caused by increased urination? Encourage the client to exercise. Ask the client to decrease fluid intake. Administer the drug early in the day. Gradually increase the drug dosage.

Administer the drug early in the day.

When teaching a client who is to receive fosfomycin, the nurse would include what as possible adverse effects? (Select all that apply.) Stained skin Anorexia Diaphoresis Dysuria Vomiting Fatigue

Anorexia Dysuria Vomiting

A nurse caring for a client being treated with nitrofurantoin for a UTI of the bladder should ask the client specifically about resolution of which symptoms during ongoing assessment? (Select all that apply.) Burning during urination Frequency Pain during urination Pressure Urgency

Burning during urination Frequency Pain during urination Pressure Urgency

A client with a history of allergy to sulfonamides is identified as a candidate for diuretic therapy. What diuretics would be contraindicated by the allergy? Select all that apply. chlorothiazide spironolactone mannitol furosemide hydrochlorothiazide

Chlorothiazide Hydrochlorothiazide

A client with a urinary tract infection is encouraged to increase fluids. Which liquid will help acidify the urine? Cranberry juice Red wine Orange juice Coffee

Cranberry juice

A nurse encourages a patient who is receiving a diuretic to maintain his fluid intake to prevent the risk for developing: Hyperkalemia Weight loss Fluid rebound Dehydration

Fluid rebound

After teaching a group of nursing students about diuretics, the instructor determines that the teaching was successful when the group identifies which as a loop diuretic? Hydrochlorothiazide Spironolactone Acetazolamide Furosemide

Furosemide

Which is an example of a loop diuretic? Hydrochlorothiazide (Microzide) Furosemide (Lasix) Spironolactone (Aldactone) Acetazolamide (Diamox)

Furosemide (Lasix)

A patient with overactive bladder symptoms was given a new prescription for an antispasmodic. With which medications does this medication category interact? Select all that apply. Metformin (Glucophage) Haloperidol (Haldol) Acyclovir (Zovirax) Promethazine (Phenergan) Docusate (Colace)

Haloperidol (Haldol) Acyclovir (Zovirax) Promethazine (Phenergan)

An older adult client has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy. The nurse has questioned a health care provider's prescription for oral spironolactone because the client's health problems would contribute to a high risk of which adverse reaction? Hypocalcemia Hemolytic anemia Metabolic acidosis Hyperkalemia

Hyperkalemia

After reviewing information about thiazide diuretics, a group of students demonstrate the need for additional teaching when they identify what as a possible adverse effect? Hypocalcemia Hypokalemia Hyperglycemia Hyperuricemia

Hypocalcemia

A nurse is educating a patient undergoing treatment for genitourinary tract bacterial infections on an outpatient basis. What instructions should the nurse offer the patient as part of the patient teaching plan? Decrease fluid intake if symptoms subside. Discontinue the therapy if symptoms vanish. Notify the PHCP if abdominal pain occurs. Increase fluid intake to at least 2000 ml/d.

Increase fluid intake to at least 2000 ml/d.

A health care provider has prescribed a loop diuretic for a client with hypertension. The client also has diabetes mellitus. What condition should the nurse monitor for in this client after administering the prescribed drug? Sudden pain in the joints Sudden increase in weight Increased blood glucose levels Occurrence of gout attacks

Increased blood glucose levels

The nurse is caring for a client with a severe head injury. An osmotic diuretic is ordered. The nurse understands which drug is an osmotic diuretic? Bumetanide Ethacrynic Spironolactone Mannitol

Mannitol

A nurse is caring for an elderly patient with a UTI. Which assessment should the nurse perform while caring for this patient? Document symptoms of the patient's condition. Assess the patient for bladder distension. Document the patient's urine output every hour. Monitor the patient's vital signs every four hours.

Monitor the patient's vital signs every four hours.

A client with renal impairment is in need of a diuretic. Because of the renal problem, potassium-sparing diuretics are contraindicated but may be used if there is no other option. If they are used at all, what nursing intervention would be most important for this client? Monitoring of CBC and serum albumin Administration of a thiazide diuretic Administration of concurrent potassium Monitoring of serum electrolytes, creatinine, and BUN

Monitoring of serum electrolytes, creatinine, and BUN

A 3-year-old has a history of recurrent urinary tract infections (UTI). Which practice implemented by the parents for the child indicates an understanding of preventive measures regarding these infections? Provides acrylic underwear 3 ounces of orange juice daily No use of bubble bath liquids or salts Cleans the perineal area from back to front

No use of bubble bath liquids or salts

Which would be most important prior to beginning therapy with a urinary anti-infective agent? Obtaining a urine culture and sensitivity test Inspecting the skin for rashes Assessing the usual urinary pattern Assessing client's level of orientation

Obtaining a urine culture and sensitivity test

A client is unconscious and experiencing increasing intracranial pressure. What type of diuretic will the client most likely be prescribed? Osmotic diuretic Thiazide diuretic Loop diuretic Potassium-sparing diuretic

Osmotic diuretic

The nurse is caring for a client who is receiving mannitol. The nurse knows that it is used to manage oliguria or anuria. The nurse knows that it is also used for what other conditions? (Select all that apply.) Reduction of intracranial pressure Reduction of mild to moderate swelling of the extremities Urinary excretion of toxic substances Reduction of intraocular pressure Reduction of venous jugular pressure

Reduction of intracranial pressure Urinary excretion of toxic substances Reduction of intraocular pressure

A nurse is caring for a client with irritation of the lower genitourinary tract. The client is administered phenazopyridine. Which condition in clients contraindicates the use of the drug? Cerebral arteriosclerosis Renal impairment Convulsive disorders Diabetes

Renal impairment

Which is an appropriate intervention for a side effect of a urinary antispasmodic medication? Reduce fluid intake to avoid nocturia. Take milk of magnesia daily to control constipation. Suck on ice or hard candy to treat dry mouth. Use caffeinated drinks to prevent drowsiness.

Suck on ice or hard candy to treat dry mouth

The nurse is caring for a client being treated for urosepsis. The client's medication regimen includes phenazopyridine. What outcome best indicates therapeutic effects of this medication? The client's urine output is ≥ 1,250 mL/24 hours. The client's urine remains free of blood. The client has two consecutive urine cultures that are negative. The client reports an absence of urinary burning and pain.

The client reports an absence of urinary burning and pain.

Urinary antiseptics are not used in systemic infections, for what reason? They are not effective against systemic infections in general. They do not sustain therapeutic plasma levels. They attain therapeutic blood levels rapidly. They do not attain therapeutic plasma levels.

They do not attain therapeutic plasma levels

The nurse is providing discharge instructions to a 72-year-old client who has been discharged home on a diuretic. What should the nurse include when providing discharge instructions regarding the use of a diuretic at home? Restrict fluids to 500 mL/day to limit the need to urinate To weigh themselves on the same scale, at the same time of day, in the same clothing Decrease exercise to conserve energy Measuring intake and output of urine

To weigh themselves on the same scale, at the same time of day, in the same clothing

A 49-year-old client reports frequent muscle cramps while on hydrochlorothiazide therapy. The nurse would advise the client to do which? include high-sodium foods in her diet. take calcium supplements. drink plenty of fluids. eat potassium-rich foods.

eat potassium-rich foods.

A health care provider prescribes spironolactone, a potassium-sparing diuretic, for a client with cirrhosis. For which category of clients is the use of potassium-sparing diuretics contraindicated? hyperkalemia gout liver disease diabetes

hyperkalemia

The nurse should advise clients taking phenazopyridine (Pyridium) that they may notice a change in urine color. Which color would the nurse identify? orange green blue purple

orange