Fluid and Electrolyte Quiz

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? "Now I will not have to diet to lose weight." "With the new medication, I should experience fewer side effects. "I will not have to do anything different because it is the same medication.' "The extra letters after the name of medication means it is a stronger dose."

"With the new medication, I should experience fewer side effects.

A patient with isotonic volume contraction should be treated with: 0.9 NaCI. D1OW. 3% NaCi. D5.25 NS.

0.9 NaCI.

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include? Eat foods that contain plenty of potassium. Expect some swelling in the hands and feet. Take the medication at bedtime.

Eat foods that contain plenty of potassium.

A patient is to receive 40 mg of furosemide IV now because of evidence of respiratory compromise from pulmonary edema. How should the nurse administer the drug? Give IV push over 10 minutes. Add the drug to 200cc of fluid and give over 20 minutes. Give IV push over 2 minutes. Administer over 2 hours in 250 cc of normal saline.

Give IV push over 2 minutes.

A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? "Take this medication before bedtime." "Monitor for leg cramps." "Avoid grapefruit juice' "Reduce intake of potassium-rich foods."

Monitor for leg cramps.

A patient taking Torsemide (a loop diuretic) develops an infection that is most responsive to aminoglycosides. The nurse should be concerned about combined use of these drugs because of the potential for: hypokalemia. ototoxicity. dysrhythmias. hyperglycemia.

Ototoxicity

A patient has been on furosemide for six months. The physician has just started the patient on digoxin. Other than pulse rate, what laboratory data must the nurse consider before administering the digoxin? Serum calcium Furosemide serum levels Magnesium serum levels Potassium serum levels

Potassium serum levels

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? Furosemide Hydrochlorothiazide Torsemide Spironolactone

Spironolactone

When considering dosage adjustments in a patient taking lithium and furosemide, which of the following statements is true? The lithium dose may need to be decreased. The lithium dose will need to be increased. No dosage adjustment is required. These drugs should never be used concurrently.

The lithium dose may need to be decreased.

Which of the following is true regarding the effectiveness of thiazides in relation to glomerulofiltration rate (GFR)? Thiazides are ineffective in GFR is less than 15-20 ml/min Thiazides are ineffective if GFR is more than 50 ml/min Thiazides are not dependent on GFR Thiazides and GFR are directly correlated in terms of effectiveness.

Thiazides are ineffective in GFR is less than 15-20 ml/min

Which of the following diuretics may be ordered to counteract the potassium loss common with the loop diuretics or the thiazides? Triamterene Chlorthalidone Ethacrynic acid Torsemide

Triamterene

In patients with hypermagnesemia, the muscle weakness and paralysis can be counteracted with IV administration of: potassium. glucose. calcium gluconate. bicarbonate.

calcium gluconate.

Which laboratory parameter could you expect to see in a patient treated with furosemide? hypoglycemia hyperkalemia hyperuricemia decreased low-density lipoproteins

hyperuricemia

A patient is admitted to the emergency department with a potassium level of 8 mEq/L. The treatment for this may include: giving the patient a potassium-sparing diuretic intravenously. infusing glucose and insulin to promote uptake of potassium by cells. infusing an acid-base fluid to treat the alkalosis that will occur. doing nothing, because this is only slightly abnormal and requires no treatment.

infusing glucose and insulin to promote uptake of potassium by cells.