Pham Chapter 32, Diuretics

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.

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

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.

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 food(s)? Select all that apply.

Bananas,Asparagus,Salmon,Peanuts

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,Chlorthalidone,Metolazone

A client has been receiving a diuretic as prescribed. Which finding(s) on the ongoing assessment should the nurse prioritize? Select all that apply.

Dry mouth,Muscle cramps,Tachycardia

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.

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

Furosemide,Bumetanide

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

Gout,Diabetes,Hepatic disease

A client with diabetes, controlled by metformin, was recently prescribed a diuretic. The nurse should question the administration of which drug(s) after noting the elevation of blood glucose levels? Select all that apply.

Hydrochlorothiazide,Chlorthalidone,Metolazone

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

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

Hyponatremia,Hypokalemia,Anuria

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

Hypotension,Decreased skin turgor

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

Increased blood glucose levels

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

Intravenously

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

The nurse is preparing to administer bumetanide to the client. The nurse should question this order after noting which drug(s) are currently being administered? Select all that apply.

Lithium,Gentamicin,Warfarin,Digoxin

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

Phenytoin,Naproxen,Ibuprofen

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

Response of pupils to light

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 result(s)? Select all that apply.

Sodium 124 mEq/L,Potassium2.9mEq/L

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

Sodium,Potassium,Bicarbonate

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

The nurse is preparing to administer furosemide to a client. Which factor(s) should the nurse prioritize on the preadministration assessment? Select all that apply.

Weight,Pulse,Temperature,Respiratory rate

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.

The nurse has administered torsemide to a client. Which finding(s) on the on going assessment should the nurse prioritize? Select all that apply

Anorexia,Depression,Drowsiness

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

A nurse is administering amiloride to several clients. The nurse should prioritize monitoring the serum potassium levels for clients with which noted disorder(s)?

Diabetes,Renal disease