evolve chapter 28
Which drug acts by inhibiting the enzyme carbonic anhydrase in the kidney?
Acetazolamide (Diamox)
Which drug does the nurse anticipate will be prescribed by a healthcare provider for a patient taking furosemide (Lasix) who develops hyperuricemia?
Allopurinol (Zyloprim)
Which diuretic can cause hearing loss?
Ethacrynic acid (Edecrin)
Which diuretic drug acts on the ascending limb of the loop of Henle and the proximal and distal tubules?
Ethacrynic acid (Edecrin)
Which gastrointestinal adverse effect of furosemide (Lasix) is most common?
Oral irritation
Which condition may cause symptoms of increased abdominal girth and neck vein
Overhydration
The nurse teaches a patient taking a potassium-sparing diuretic to avoid ingesting which item?
Salt substitute
Which medication when given concurrently with ethacrynic acid (Edecrin) may cause ototoxicity?
Tobramycin (Tobrex)
The nurse administers IV furosemide (Lasix) over how many minutes?
2 to 4
When a patient is vomiting and has diarrhea, the patient is likely to have which level of serum potassium?
2.5 mEq/L
What would be the appropriate initial oral dose of ethacrynic acid (Edecrin) per day for an 8- year-old patient who weighs 55 pounds? Record your answer using a whole number.
55/2.2=25kg the dose would be 1x25= 25kg 25kg
Which drug acts by increasing renal blood flow into the glomeruli and inhibiting electrolyte absorption in the proximal tubule?
Bumetanide (Bumex)
For which medication is orthostatic hypotension an adverse effect? Select all that apply.
Bumetanide (Bumex) Ethacrynic acid (Edecrin)
Which diuretic can cause a rash? Select all that apply.
Bumetanide (Bumex) Triamterene (Dyrenium)
Which adverse effects can occur if a patient is administered ethacrynic acid (Edecrin) intravenously? Select all that apply.
Dark, tarry stools Coffee-ground vomitus
Which diuretic should be used to treat edema in a hospitalized pediatric patient with congenital heart disease?
Ethacrynic acid (Edecrin)
Which medication would be appropriate for the treatment treated for edema associated with congenital heart disease? for a pediatric patient being
Ethacrynic acid (Edecrin)
Which adverse effect may occur in a patient who is concurrently taking a thiazide diuretic and prednisone?
Excessive excretion of potassium
Which drug is particularly useful for relieving edema and ascites in patients who do not respond to the usual diuretics?
Spironolactone (Aldactone)
Which diuretic blocks the exchange of potassium for sodium in the distal tubule of the kidney?
Triamterene (Dyrenium)
Which instruction would be given to a patient who is taking a thiazide diuretic and reports gastric irritation?
"Take the medicine with food or milk."
Which statements regarding triamterene (Dyrenium) are true? Select all that apply.
1,4,5 Triamterene (Dyrenium) is a very mild diuretic that acts by blocking the exchange of potassium for sodium. Common side effects of triamterene (Dyrenium) include electrolyte imbalance, dehydration, leg cramps, and weakness. Triamterene (Dyrenium) helps reduce edema and improves symptoms related to excessive fluid accumulation.
Which diuretic is used to reduce intraocular pressure associated with glaucoma?
Acetazolamide
Which drug would be beneficial for a pregnant patient who complains of edema in her legs?
Benzothiadiazides
What is the significant sign of dehydration in a patient with diuresis?
Crusted lips
For what therapeutic effect does the nurse assess in a patient taking acetazolamide (Diamox)?
Decreased intraocular presume
Which is a serious adverse gastrointestinal effect of spironolactone (Aldactone)?
Diarrhea
Which actions are related to ethacrynic acid? Select all that apply.
Diuretic activity lasts for 6 to 8 hours. The drug action is on the proximal and distal tubules.
When planning the administration of ethacrynic acid (Edecrin), which factor must the nurse consider?
During IV administration, narrowed pulse pressure must be reported.
Which drug is used in combination with 0.9% sodium chloride infusions to enhance the excretion of calcium in patients with hypercalcemia? Select all that apply.
Furosemide (Lasix) Ethacrynic acid (Edecrin)
Which drugs may be responsible for severe itching in a patient being treated for renal disease? Select all that apply.
Furosemide (Lasix) Benzothiadiazides
Which drug would be beneficial for a pregnant patient who complains of edema in her legs?
Furosemide (Lasix) Amiloride (Midamor) Ethacrynic acid (Edecrin) Benzothiadiazides
Which drugs may be responsible for severe itching in a patient being treated for renal disease? Select all that apply.
Furosemide (Lasix) Amiloride (Midamor) Ethacrynic acid (Edecrin) Spironolactone (Aldactone) Benzothiadiazides
What are the serious adverse effects of furosemide (Lasix)? Select all that apply.
Hyperuricemia Pruritus
What are the common adverse effects of the combination diuretics spironolactone (Aldactone) and hydrochlorothiazide (HydroDIURUIL)? Select all that apply.
Hyponatremia Hyperkalemia
Which statement by a patient taking furosemide indicates effective learning on ways to prevent xerostomia and oral irritation?
I will use 1 tsp of hydrogen peroxide in 200 mL of water as a mouthwash."
Which drug inhibits the diuretic activity of ethacrynic acid?
Indomethacin
By which action does a sulfonamide-type diuretic promote diuresis?
Inhibiting sodium and chloride reabsorption in the ascending loop of Henle.
Which adverse effects would a patient be taught to expect when taking spironolactone? Select all that apply.
Mental confusion Breast tenderness
What are the advantages of combination products used for diuresis? Select all that apply.
Promotion of diuresis and antihypertensive effects Maintenance of normal serum potassium levels in the body
Which drug might have led to a male patient developing gynecomastia?
Spironolactone (Aldactazide)
Which drug is an effective agent to use in conjunction with potassium-sparing diuretics?
Triamterene (Dyrenium)
Which statements are true regarding spironolactone? Select all that apply.
last 3 Gynecomastia and reduced libido are known adverse effects of spironolactone. Correct4 Spironolactone causes increased amounts of sodium and water to be excreted, but potassium is retained. Correct5 When spironolactone and an angiotensin-converting enzyme (ACE) inhibitor are taken concurrently, there is a reduction in mortality of patients with heart failure.