Diuretics

The nurse is teaching a patient who has been prescribed hydrochlorothiazide [Microzide]. Which statement from the patient indicates a correct understanding of the teaching?

"I will take the dose only in the morning."

What is the best information for the nurse to provide to a patient who is receiving spironolactone and furosemide therapy?

"This combination promotes urine output but decreases the risk of low potassium."

A patient is ordered furosemide [Lasix] to be given via intravenous push. Which interventions should the nurse perform? Select all that apply.

-Obtain weight -Assess lung sounds -Administer slowly over 1-2 minutes -Maintain accurate intake and output record

What should the nurse assess within an hour after administering a diuretic? Select all that apply.

-Urinary output -Blood pressure

Which patient receiving mannitol [Osmitrol] should the nurse assess first?

A patient with anuria

A patient taking spironolactone [Aldactone] has been taught about the medication. Which menu selection indicates the patient understands teaching related to this medication?

Chicken (Spironolactone [Aldactone] is a potassium-sparing diuretic that could potentially cause hyperkalemia. Of the foods listed, chicken is lowest in potassium. Nuts, potatoes, dried fruits, spinach, citrus fruits, and bananas are all known to contain high levels of potassium.)

Which assessment indicates to the nurse that a therapeutic effect of mannitol [Osmitrol] has been achieved?

Decreased intracranial pressure (ICP

The nurse reviews the laboratory values of a patient receiving furosemide [Lasix]. Which lab result indicates to the nurse that an adverse effect is occurring?

Decreased magnesium (Furosemide [Lasix] increases urinary excretion of magnesium, posing a risk of magnesium deficiency)

After reviewing the chart, which findings would cause the nurse to notify the provider?

Digoxin [Lanoxin] and hypokalemia (The nurse should notify the provider when hypokalemia and a prescription for digoxin [Lanoxin] occur together. Loss of potassium is of special concern for patients taking digoxin [Lanoxin], a drug for heart failure. By lowering potassium levels, loop diuretics increase the risk of fatal dysrhythmias from digoxin [Lanoxin].)

After reviewing the chart, which information would cause the nurse to notify the provider for a patient taking hydrochlorothiazide [Microzide]?

History of gout (The provider should be notified because the patient has a history of gout. Hydrochlorothiazide [Microzide] is a thiazide diuretic, which can cause an increase in uric acid level, leading to a gout attack.)

Which laboratory result should the nurse monitor for in a patient receiving hydrochlorothiazide [Microzide]?

Hyperglycemia (Like the loop diuretics, the thiazides can elevate plasma levels of glucose. The thiazides, like the loop diuretics, can cause retention of uric acid, thereby elevating plasma uric acid (hyperuricemia). Like the loop diuretics, the thiazides can cause hypokalemia from excessive potassium excretion. Thiazides promote renal calcium retention, causing an increase in calcium, not hypocalcemia. )

The nurse is working in the emergency department when a patient with a head injury develops increased intracranial pressure. Which drug would the nurse anticipate administering?

Mannitol [Osmitrol]