Wk 4 Diuretic Drugs

1. A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize?

Administer early in the day.

16. The nurse has finished a teaching session with a client who is prescribed a diuretic to be taken twice a day. The nurse determines the session is successful when the client correctly chooses which times to take the drug?

At breakfast and midafternoon

4. The nurse is preparing to teach a client with renal insufficiency about the recently prescribed bumetanide for hypertension. Which instruction should the nurse prioritize for this client?

Avoid over-the-counter drugs for cold symptoms.

21. A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin?

Decreased diuretic effectiveness

17. A client with congestive heart failure and currently administered digoxin is now prescribed indapamide for edema. Which intervention should the nurse prioritize?

Frequently monitor the client's pulse rate and rhythm.

10. A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drugs will the instructor point out as exerting action on the loop of Henle and distal and proximal tubules? Select all that apply.

Furosemide Bumetanide

14. A client has been receiving acetazolamide as prescribed. Which substance will the nurse prioritize for monitoring on routine laboratory work? Select all that apply.

Potassium Sodium Bicarbonate

18. A client with diabetes, controlled by metformin, was recently prescribed a diuretic. The nurse should question the administartion of which drug after noting the elevation of blood?

hydrochlorothiazide chlorthalidone metolazone

27. A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment?

Response of pupils to light.

26. A client who is receiving diuretic therapy comes to the clinic for a follow-up visit. The client states that their mouth is often dry and that they are "urinating like there is no tomorrow." Assessment reveals dry mucous membranes and decreased skin turgor. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Deficient Fluid Volume

Adminsitering urea to a client with intraicular pressure

Syncope

2. A client is admitted in acute renal failure and prescribed mannitol. The nurse prepares to administer this drug via which route?

intravenously

3. The health care provider has prescribed spironolactone for a client. The nurse is prepared to carefully monitor the client's potassium level if the client is also administered which drug?

lisinopril

9. The nurse is preparing to administer bumetanide to the client, The nurse should question this order after noting which drugs are currently being administered? Select all that apply.

lithium gentamicin digoxin warfarin

15. A group of nursing students are comparing the actions of the various diuretic classes. Which drugs should the students choose when examining the ones that work on the glomerulus? Select all that apply.

mannitol urea

28. The nurse is teaching a client about the prescribed metolazone and providing suggestions for foods to eat which will help increase potassium consumption, The nurse determines the teaching is successful after the client correctly chooses which foods? Select all that apply.

asparagus bananas salmon peanuts

6. A client has been receiving a diuretic as prescribed. Which findings on the ongoing assessment should the nurse priotize?

Dry mouth muscle cramps tachycardia

22. A primary health care provider has prescribed a loop diuretic for hypertension in a client with diabetes mellitus, Which assessment should the nurse prioritize?

Increased blood glucose levels

23. A nurse is reviewing the laboratory test results of a client who is receiving diuretic therapy. The nurse determines that the client is at risk for electrolyte imbalance based on which results? Select all that apply.

Potassium 2.9 mEq/L Sodium 124 mEq/L

8. A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising?

Withhold the next dose of the drug.

30. The nurse has administered torsemide to a client. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

anorexia drowsiness depression

31. The nurse is preparing to administer a diuretic to a client. The nurse should question this order if which disorder is noted in the client's history? Select all that apply.

anuria hyponatremia hypokalemia

20. A nurse is preparing to administer a diuretic to a client. The nurse should question administering which drug after noting an allergy to sulfamethoxazole/trimethoprim? Select all that apply.

chlorothiazide furosemide metolazone chlorthalidone

25. The nurse has administered acetazolamide to a client. The nurse should question the client's serum sodium level after noting which findings on the ongoing assessment? Select all that apply.

decreased skin turgor hypotension

19. A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the client's history?

hyperkalemia

13. A health care provider prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on which assessment finding?

tachycardia

if the client is diagnosed with which disorder? Select all that apply. 5. The nurse is preparing to administer amiloride to a client. The nurse will exercise caution

diabetes gout hepatic disease

29. A nurse is administering amiloride to several clients. The nurse should prioritize monitoring the serum potassium levels for clients with which noted disorder? Select all that apply.

diabetes renal disease

12. The nursing instructor is teaching a group of nursing students comparing the different classes of diuretics. The instructor determines the session is successful when the students select?

methazolamide acetazolamide

11. A nurse notes on assessment of a client receiving furosemide a decrease in urinary output. Which drugs should the nurse suspect is affecting the diuretic? Select all that apply.

phenytoin naproxen ibuprofen

7. The nurse is preparing to administer furosemide to a client. Which factors should the nurse prioritize on the preadministration assessment? Select all that apply.

temperature weight respiratory rate pulse