Nursing Application: Diuretics
DM is a 62-year-old African-American man who has hypertension and now presents with signs of ankle edema, increased blood pressure, and abnormal lung sounds. Which diuretic does the nurse anticipate administering to quickly and safely remove fluid?
furosemide
The patient's lab results (BMP values) are provided in the table above. Why is the low potassium a concern prior to administering furosemide?
furosemide will prevent Potassium K+ is from being reabsorbed and could lower the electrolyte.
Friedrich, who has glaucoma, asks the nurse why he was recently prescribed acetazolamide. Which is the best response by the nurse?
"Acetazolamide is a type of diuretic that decreases the pressure in your eye caused by glaucoma."
Tom is starting furosemide at home. Medication instructions were explained to him and his family. Which statement indicates understanding of how the medication works.
"I take all my meds in the evening. However, I am going to take this medication in the morning."
Which assessments provide baseline cues about the fluid status of an elderly patient prior to administering a diuretic medication? (Select all that apply.)
*Capillary refill *Skin turgor *Breath sounds *Weight
Which lab values should be reviewed prior to administering furosemide? (Select all that apply.)
*Creatinine *Sodium *BUN *Chloride *Potassium
The nurse monitors patients receiving treatment with loop diuretics for which complications? (Select all that apply.)
*Hypochloremia *Hypotension *Hyponatremia *Hypokalemia
The nurse is developing a plan of care for a client with fluid volume overload related to heart failure exacerbation. The healthcare provider has prescribed an IV loop diuretic. What nursing interventions should be included in the client's plan of care? (Select all that apply.)
*Strict measuring of the client's daily intake and output. *Perform and assess daily weights. Note fluid changes.
1._____________ belongs to the loop diuretics class.
1. torsemide
The patient's vital signs are provided in the table above. Why is the current blood pressure a concern prior to administering furosemide?
By removing water, furosemide can lower the blood pressure.
The nurse is educating a client about furosemide. In which situation would the nurse instruct the client to stop taking the furosemide and contact their healthcare provider?
If the client was unable to urinate
What type of medication is furosemide?
Loop Diuretic
Of the currently available diuretic drugs, which of the following cannot be taken if the client has a sulfa allergy?
Loop diuretic
The patient's vital signs are provided in the table above. How can the blood pressure and fluid status of the patient be assessed in more detail?
Orthostatic BP
Carbonic acid anhydrase inhibitors work on which part of the nephron?
Proximal tubule
Furosemide may increase the ototoxic potential of 1.______________ drug group?
aminoglycoside antibiotics
