Pharm 2- Exam 2- Diuretics test

The nurse would expect to assess which serum potassium level in a patient who has severe vomiting and diarrhea? a. Less than 3.5 mEq/L b. Between 3.5 and 4.5 mEq/L c. Between 4.6 and 5 mEq/L d. Higher than 5.5 mEq/L

a. Less than 3.5 mEq/L

Which diuretic does the nurse anticipate will be ordered for a patient who has ascites from liver disease that is not responding to maintenance therapy? 1. Furosemide 2. Mannitol 3. Acetazolamide 4. Spironolactone

4. Spironolactone

The use of diuretics in the treatment of heart disease may lead to? 1. Fluid retention 2. Hyperglycemia 3. Hypotension 4. Diarrhea

3. Hypotension

The nurse monitoring the patient in the scenario using diuretics to reduce peripheral edema will watch for which therapeutic response? 1. A reduction in cerebral edema and headaches 2. A reduction in edema and an increased urine output 3. A reduction in ascites associated with liver congestion 4. An improvement in renal function

2. A reduction in edema and an increased urine output

Which are common signs and symptoms of dehydration? ( Select all that apply. ) a. Furrowed tongue b. Decreased intake and output levels c. Bounding pulse rate d. Mental confusion e. Elastic skin turgor

a. Furrowed tongue b. Decreased intake and output levels d. Mental confusion

The nurse is discussing the possible adverse effects of thiazide diuretic therapy with a patient. The nurse recognizes that further education is needed when the patient makes which statement? 1. "I understand that, because I am taking this hydrochlorothiazide, I can expect my kidneys to shut down." 2. "I know that I am taking this for my high blood pressure, so I should expect that it will control it better once I get started on this." 3. "So you are saying that if I develop gout then I need to let my doctor know." 4. "I will need to get my blood work done periodically to determine whether this drug is making my potassium level drop."

1. "I understand that, because I am taking this hydrochlorothiazide, I can expect my kidneys to shut down."

Which situation would be the primary indicator for hypotonic solutions? 1. Cellular dehydration 2. Maintaining hydration 3. Diuresis in cases of extravascular volume overload 4. Drawing fluid into the intravascular compartment

1. Cellular dehydration

The nurse would be monitoring for ___________ in a patient taking a combination therapy of thiazide diuretics and potassium sparing diuretics 1. ECV deficit 2. ECV excess 3. Hypertension 4. Decreased BUN levels

1. ECV deficit

Which drug would be beneficial for edema associated with heart failure? 1. Furosemide 2. Amiloride 3. Ethacrynic acid 4. Hydrochlorothiazide

1. Furosemide

A patient has been placed on a loop diuretic to reduce pulmonary edema. Which statement by the patient indicates a need for further teaching about the medication by the nurse? 1. I will take this medication with supper 2. I'll have a banana with breakfast every morning 3. I'll weigh myself each day before breakfast 4. If my shortness of breath returns, I'll contact my provider.

1. I will take this medication with supper

A patient has been placed on Spironolactone (Aldactone) to reduce pulmonary edema. Which statement by the patient indicates a need for further teaching about the medication by the nurse? Select all that apply 1. I will take this medication with supper 2. I'll have a banana with breakfast every morning 3. I'll weigh myself each day before breakfast 4. If my shortness of breath returns, I'll contact my provider.

1. I will take this medication with supper 2. I'll have a banana with breakfast every morning

Which nursing intervention would be included in the plan of care for a patient receiving furosemide? Select all that apply. 1. Monitor the patient for signs of hypokalemia. 2. Perform weekly weights after breakfast. 3. Teach the patient to rise slowly from a sitting or supine position. 4. Provide hard candy or ice to prevent dry mouth. 5. Administer medication 1 hour before or 2 hours after meals.

1. Monitor the patient for signs of hypokalemia. 3. Teach the patient to rise slowly from a sitting or supine position. 4. Provide hard candy or ice to prevent dry mouth.

The nurse knows that individuals with impaired renal function, cirrhosis of the liver, or diabetes mellitus need to be given diuretics cautiously because they are known to cause what effect? (Select all that apply.) 1. Patients with diabetes may experience hyperglycemia. 2. Patients with cirrhosis of the liver may develop orthostatic hypotension. 3. Patients with renal disease tend to develop electrolyte imbalances. 4. Patients with diabetes may experience hypoglycemia. 5. Patients with renal disease will develop edema secondary to diuretics.

1. Patients with diabetes may experience hyperglycemia. 2. Patients with cirrhosis of the liver may develop orthostatic hypotension. 3. Patients with renal disease tend to develop electrolyte imbalances.

Which statement is true regarding triamterene? Select all that apply. 1. Triamterene is a very mild diuretic that acts by blocking the exchange of potassium for sodium. 2. Triamterene is ineffective if it is used in conjunction with potassium-excreting diuretics. 3. Triamterene may lead to hyperkalemia, which may be resolved only by discontinuing the therapy. 4. Common side effects of triamterene include electrolyte imbalance, dehydration, leg cramps, and weakness. 5. Triamterene helps reduce edema and improves symptoms related to excessive fluid accumulation

1. Triamterene is a very mild diuretic that acts by blocking the exchange of potassium for sodium. 4. Common side effects of triamterene include electrolyte imbalance, dehydration, leg cramps, and weakness. 5. Triamterene helps reduce edema and improves symptoms related to excessive fluid accumulation

The nurse discusses the importance of careful monitoring of laboratory values to the patient in the scenario who has been switched from thiazide to furosemide (Lasix). Which statement by the patient indicates the patient needs further education? 1. "I have been getting my labs checked monthly, and they tell me that my potassium has been stable." 2. "Because I am going to be switched to this new medication, I can stop worrying about any need to have my labs checked monthly, as a result of this stabilizing my edema." 3. "As I understand it, you are telling me that is it important to keep a close eye on my labs that indicate when I am becoming dehydrated from this drug." 4. "I will get my labs checked more frequently because I have just started on this med and I need to see how it will affect my kidneys."

2. "Because I am going to be switched to this new medication, I can stop worrying about any need to have my labs checked monthly, as a result of this stabilizing my edema."

The nurse administering intravenous (IV) furosemide to a patient anticipates that diuresis will occur after how many minutes? 1. 1 to 5 2. 5 to 10 3. 10 to 15 4. 15 to 20

2. 5 to 10

A patient receiving furosemide (Lasix) for a month reports experiencing toe pain. The patient states that it's been years since having that type of pain. What does the nurse expect? 1. Neuropathy 2. Gout 3. Hypokalemia 4. Orthopedic injury

2. Gout

What is the advantage of combination products used for diuresis? Select all that apply. 1. Prevention of hyperkalemia and hyponatremia 2. Promotion of diuresis and antihypertensive effects 3. Initial therapy for edema or hypertension 4. Maintenance of normal serum potassium levels in the body 5. Elimination of the risk of adverse effects of the component drugs

2. Promotion of diuresis and antihypertensive effects 4. Maintenance of normal serum potassium levels in the body

Which statement is correct concerning the use of diuretics as an antihypertensive agent? 1. Loop diuretics are usually prescribed with carbonic anhydrase inhibitors to increase effectiveness. 2. Thiazide diuretics work best for patients with creatinine clearance greater than 30 mL/min. 3. Potassium-sparing diuretics are usually prescribed by themselves until the patient is in renal failure. 4. Carbonic anhydrase inhibitors are the most effective diuretic for use in treating hypertension.

2. Thiazide diuretics work best for patients with creatinine clearance greater than 30 mL/min.

Which statement is true regarding diuretics? 1. Diuretics increase extracellular fluid volume. 2. Diuretics are often the most expensive antihypertensive agents. 3. Combination therapy with diuretics may potentiate the incidence of adverse effects. 4. Carbonic anhydrase inhibitor class diuretics are weak antihypertensive agents.

4. Carbonic anhydrase inhibitor class diuretics are weak antihypertensive agents.

The nurse taking the patient's blood pressure notes a decrease in the value from recent readings. What explanation will the nurse give the patient in the scenario currently taking furosemide (Lasix) regarding this change? 1. "I believe this blood pressure reading must be in error, I will need to recheck it." 2. "You are probably getting worried about how you will manage at home, so that would explain the change in your blood pressure." 3. "Sometimes there is a drop in the blood pressure when you take these diuretics because they will affect the volume of circulating blood as a result of diuresis." 4. "The blood pressure measurement means that you are not responding to the diuretic like you should be; we will have to reevaluate the meds you are on."

3. "Sometimes there is a drop in the blood pressure when you take these diuretics because they will affect the volume of circulating blood as a result of diuresis."

Which of the following is an adverse effect in using Spironolactone? 1. Lithium toxicity 2. Hypokalemia 3. Dry eyes 4. Gynecomastia

4. Gynecomastia

Which diuretic does the nurse anticipate will be ordered for a patient who has intraocular pressure in glaucoma? 1. Furosemide 2. Mannitol 3. Acetazolamide 4. Spironolactone

3. Acetazolamide

Which diuretic is used to reduce intraocular pressure associated with glaucoma? 1. Furosemide 2. Mannitol 3. Acetazolamide 4. Spironolactone

3. Acetazolamide

The nurse is assessing a patient who has been taking diuretics for several months for signs of dehydration. What should the nurse assess for in patients taking diuretics? (Select all that apply.) 1. Elastic skin turgor 2. Lower lab values of hematocrit and hemoglobin from baseline 3. Dry and sticky oral mucous membranes 4. Lab values of hematocrit and hemoglobin elevated from baseline 5. Sunken eyeballs 6. Weak pedal pulses 7. Crackles in the lung bases 8. Excessive thirst

3. Dry and sticky oral mucous membranes 4. Lab values of hematocrit and hemoglobin elevated from baseline 5. Sunken eyeballs 6. Weak pedal pulses 8. Excessive thirst

Which statement is true regarding spironolactone? Select all that apply. 1. When given concurrently with lithium, spironolactone can cause lithium toxicity. 2. The action of nonsteroidal antiinflammatory drugs (NSAIDs) are blocked when taken with spironolactone. 3. Gynecomastia and reduced libido are known adverse effects of spironolactone. 4. Spironolactone causes increased amounts of sodium and water to be excreted, but potassium is retained. 5. When spironolactone and an angiotensin-converting enzyme (ACE) inhibitor are taken concurrently, there is a reduction in mortality of patients with heart failure.

3. Gynecomastia and reduced libido are known adverse effects of spironolactone. 4. Spironolactone causes increased amounts of sodium and water to be excreted, but potassium is retained. 5. When spironolactone and an angiotensin-converting enzyme (ACE) inhibitor are taken concurrently, there is a reduction in mortality of patients with heart failure.

Which drug would be beneficial for a pregnant patient who complains of edema in her legs? 1. Furosemide 2. Amiloride 3. Ethacrynic acid 4. Hydrochlorothiazide

4. Hydrochlorothiazide

A patient with a history of heart failure is prescribed furosemide (Lasix). Several days later after the aggressive therapy started, the patients started to exhibit confusion, tremors, palpitations, muscle cramps, and nausea. What does the nurse suspect? 1. Heart failure 2. Hyperkalemia 3. Renal failure 4. Hypokalemia

4. Hypokalemia

The nurse teaches a patient taking a potassium-sparing diuretic to avoid ingesting which item? 1. Orange juice 2. Black pepper 3. Salt substitute 4. Additional salt in food

3. Salt substitute

The nurse is worried about a patient taking Spironolactone(Aldactone) and an NSAID because of what drug interaction? 1. The NSAID may induce hypokalemia 2. Spironolactone may increase the NSAID effects 3. The NSAID may inhibit the diuretic effect 4. The NSAID may increases the diuretic effect

3. The NSAID may inhibit the diuretic effect

Which intravenous (IV) fluid does the nurse anticipate will be prescribed for a patient who is hemorrhaging after a head-on car collision? 1. Dextrose 5% in water (D5W) 2. 0.45% sodium chloride 3. Dextrose 10% in water (D10W) 4. Lactated Ringer's

4. Lactated Ringer's

Which patient taking spironolactone has a potassium level that the nurse would report to the health care provider? 1. Patient A with a K level of 3.5 2. Patient B with a K level of 4.3 3. Patient C with a K level of 4.8 4. Patient D with a K level of 5.3

4. Patient D with a K level of 5.3

The nurse was caring for a patient who asked for a pain pill (ibuprofen) for a recent arm fracture and was currently taking the diuretic furosemide (Lasix). What would be an appropriate response by the nurse? 1. "Sure, no problem; the two medications do not interact." 2. "Because these two medications have a known interaction, I will not be allowed to give you any for pain." 3. "If I give you the pain pill, it will affect the diuretic and you will have an increased effect from the diuretic." 4. "This pain medication may require an increased dosage of the diuretic."

4. "This pain medication may require an increased dosage of the diuretic."

Which fluid may be used to maintain vascular volume in a patient who is hypovolemic and hypotensive? 1. Dextrose 5% in water (D5W) 2. 0.45% normal saline 3. Dextrose 5% with 0.2% sodium chloride (D5/0.2NS) 4. 0.9% normal saline

4. 0.9% normal saline

How soon will diuresis be expected to occur after the nurse has administered 20 mg of furosemide (Lasix) intravenously (IV) to a patient with heart failure? a. As soon as injected b. Within 10 minutes c. After 2 hours d. After 4 hours

b. Within 10 minutes

A 37-year-old male presents at the emergency department reporting severe vomiting for the past 48 hours. When assessing skin turgor, the nurse will: a. exert pressure against the shin. b. gently pinch the skin together over the sternum. c. assess for vein distention. d. inspect oral mucous membranes.

b. gently pinch the skin together over the sternum.

Which condition warrants the use of acetazolamide (Diamox) as a diuretic? a. Increased intracranial pressure b. Increased extravascular fluid pressure c. Increased intraocular pressure d. Periorbital edema

c. Increased intraocular pressure

The nurse knows that which statement is correct regarding nursing care of a patient receiving hydrochlorothiazide (HCTZ)? Select all that apply. A. Monitor patient for signs of hypoglycemia. B. Administer ordered potassium supplements C. Monitor serum potassium and uric acid levels D. Assess blood pressure before administration E. Notify health care provider if patient has had oliguria for 24 hours. F. Assess for decreased cholesterol and triglyceride levels

B. Administer ordered potassium supplements C. Monitor serum potassium and uric acid levels D. Assess blood pressure before administration E. Notify health care provider if patient has had oliguria for 24 hours.

What should the nurse do when a patient is taking furosemide (Lasix) A. Instruct patient to change positions quickly when getting out of bed B. Assess blood pressure before administration C. Administer at bedtime for maximum effectiveness D. Teach to avoid fruits to prevent hyperkalemia

B. Assess blood pressure before administration

55 y/o M with kidney stones needs a mediation to decrease urinary calcium excretion. Which diuretic is best? A. Torsemide B. HCTZ C. Spironolactone D. Triamterene

B. HCTZ

Which of the following should be avoided in a pt with hx of severe anaphylactic reaction to sulfa meds? A. Amiloride B. HCTZ C. Mannitol D. Spironolactone E. Triamterene

B. HCTZ

The patient has been receiving sprionolactone (Aldactone) 50 mg/day for heart failure. The nurse should closely monitor the patient for which condition? A. Hypokalemia B. Hyperkalemia C. Hypoglycemia D. Hypermagnesemia

B. Hyperkalemia

A patient is taking hydochlorothiazide (HCTZ) 50 mg/day and digoxin (Lanoxin) 0.25 mg/day. The nurse plans to monitor the patient for which potential electrolyte imbalance? A. Hypocalcemia B. Hypokalemia C. Hyperkalemia D. Hypermagnesemia

B. Hypokalemia

A patient has heart failure, and a high dose of furosemide (Lasix) is ordered. What suggests a favorable response to Lasix? A. Decrease in level of consciousness and sleeping more B. Respiratory rate decreases from 28/min to 20/min and the depth increases C. Increased congestion heard in breath sounds and complains of shortness of breath D. Urine output of 50 mL/4 h and intake of 200 mL.

B. Respiratory rate decreases from 28/min to 20/min and the depth increases

For the patient taking a diuretic, a combination such as triamterene and hydrochlorothiazide may be prescribed. The nurse realizes that this combination is ordered for which purpose? A. To decrease serum potassium level B. To increase serum potassium level C. To decrease glucose level D. To increase glucose level

B. To increase serum potassium level

A patient is receiving furosemide (Lasix). It is most important for the nurse to monitor the patient for the development of A. hyperkalemia. B. hypokalemia. C. hyponatremia. D. hypernatremia.

B. hypokalemia.

Which statement about aldosterone does the nurse identify as being true? A. promotes sodium excretion. B. is a mineralocorticoid hormone. C. promotes potassium retention. D. is secreted by the pancreas

B. is a mineralocorticoid hormone.

Before administering triamterene (Dyrenium), it is most important for the nurse to determine if the patient is also receiving A. digoxin (Lanoxin). B. potassium chloride (K-Dur). C. acetaminophen (Tylenol). D. doxazosin (Cardura).

B. potassium chloride (K-Dur).

A 70 y/o F is admitted to the ER because of a fainting spell at home. Her BP is 120/60 when lying down, but 60/20 when she sits up. Questioning reveals that she has recently started taking "water pills" for a heart condition. Which of the following drugs is the most likely cause of her fainting spell? A. Acetazolamide B. Amiloride C. Furosemide D. HCTZ E. Spironolactone

C. Furosemide

A 75 y/o F with HTN is being tx'ed with a thiazide. Her BP responds well and reads 120/76. After several months she complains of being tired and weak. Bloodwork shows low values for which of the following? A. Calcium B. Glucose C. Potassium D. Sodium

C. Potassium

Which statement will the nurse include when teaching a patient about loop (high-ceiling) diuretics? A. Take the medication at bedtime. B. Take the medication on an empty stomach. C. Rise slowly from a lying or sitting to standing position to prevent dizziness. D. Avoid fruit and vegetables in the diet

C. Rise slowly from a lying or sitting to standing position to prevent dizziness.

A patient is taking furosemide (Lasix) 40 mg daily for heart failure and hypertension. It is most important for the nurse to assess the patient for the development of : A. low serum potassium, sodium, and magnesium, and elevated calcium. B. low serum potassium and sodium and elevated magnesium and calcium. C. low serum potassium, sodium, magnesium, and calcium. D. low serum potassium and sodium, with magnesium and calcium remaining normal.

C. low serum potassium, sodium, magnesium, and calcium.

A patient with congestive heart failure gains 5 pounds in 1 week. This most likely indicates a fluid weight gain of A.½ L. B.1 L. C.2 L. D.3 L

C.2 L.

A patient with chronic glaucoma is most likely to receive which drug? A. A thiazide diuretic B. A loop diuretic C. A potassium-sparing diuretic D. A carbonic anhydrase inhibitor

D. A carbonic anhydrase inhibitor

An alcoholic male has developed hepatic cirrhosis. To control the ascites and edema, which should be prescribed? A. Acetazolamide B. Chlorthalidone C. Furosemide D. Spironolactone

D. Spironolactone

Which of the following correctly outlines a major difference in electrolyte disturbances associated with thiazide and loop diuretics? A. Thiazide diuretics decrease potassium and loop diuretics increase potassium B. Thiazide diuretics increase potassium and loop diuretics decrease potassium C. Thiazide diuretics decrease calcium and loop diuretics increase calcium D. Thiazide diuretics increase calcium and loop diuretics decrease calcium

D. Thiazide diuretics increase calcium and loop diuretics decrease calcium

Which is contraindicated in a patient with hyperkalemia? A. Acetazolamide B. Chlorthalidone C. Chlorothiazide D. Ethacrynic Acid E. Spironolactone

E. Spironolactone

Which nursing intervention(s) would be performed for a patient who is on diuretic therapy? ( Select all that apply. ) a. Auscultation of lung sounds b. Assessment of skin turgor c. Initiation of electrolyte supplements d. Positioning techniques e. Monitoring of intake and output

a. Auscultation of lung sounds b. Assessment of skin turgor d. Positioning techniques e. Monitoring of intake and output

The nurse transcribes a new order for ethacrynic acid (Edecrin) on a patient with edema resulting from cirrhosis of the liver. Which currently prescribed medication(s) should the nurse report to the ordering health care provider? a. Digoxin b. Prednisone c. Tobramycin d. Lipitor e. Zofran

a. Digoxin b. Prednisone c. Tobramycin

Individuals with which disorder(s) are particularly susceptible to the development of electrolyte disturbances during diuretic therapy? ( Select all that apply.) a. History of cardiac disease b. History of renal disease c. History of hormonal disorders d. History of psychiatric illness e. Massive trauma f. Serious burns g. Overhydration

a. History of cardiac disease b. History of renal disease c. History of hormonal disorders d. History of psychiatric illness e. Massive trauma f. Serious burns

Which medical condition(s) may contribute to fluid volume excess? a. Hypertension b. Liver disease c. Pregnancy d. Use of corticosteroids e. Skin disorders

a. Hypertension b. Liver disease c. Pregnancy d. Use of corticosteroids

A patient who has heart failure and difficulty breathing is being admitted. Which physical assessment(s) indicate(s) fluid volume excess? ( Select all that apply. ) a. Rapid, bounding, irregular pulse rate b. Clear lung sounds c. 3+ pitting ankle edema d. Neck vein engorgement e. Shortness of breath

a. Rapid, bounding, irregular pulse rate c. 3+ pitting ankle edema d. Neck vein engorgement e. Shortness of breath

Which premedication assessment(s) would the nurse obtain prior to the initiation of bumetanide (Bumex)? ( Select all that apply. ) a. Serum potassium b. Bowel sounds c. Lung sounds d. Orientation level e. Blood pressure

a. Serum potassium c. Lung sounds d. Orientation level e. Blood pressure

The nurse is reviewing lab work received on a patient admitted with the diagnosis of dehydration. The nurse will notify the physician of which lab value? a. Serum sodium level: 115 mEq/L b. Serum potassium level: 5.0 mEq/L c. Serum sodium level: 140 mEq/L d. Serum potassium level: 3.5 mEq/L

a. Serum sodium level: 115 mEq/L

Which assessment finding for a patient who is receiving IV furosemide (Lasix) to treat stage 2 hypertension is most important to report to the health care provider? a. Blood glucose level of 175 mg/dL b. Blood potassium level of 3.0 mEq/L c. Most recent blood pressure (BP) reading of 168/94 mm Hg d. Orthostatic systolic BP decrease of 12 mm Hg

b. Blood potassium level of 3.0 mEq/L

Which medication, if administered with spironolactone (Aldactone), will alert the nurse to assess the patient for signs and symptoms of hyperkalemia? a. Propranolol (Inderal) b. Captopril (Capoten) c. Furosemide (Lasix)term-16 d. Ibuprofen (Motrin)

b. Captopril (Capoten)

Which sign(s) and/or symptom(s) of dehydration may occur as a result of a diuretic? (Select all that apply.) a. Decreased urine specific gravity b. Skin remains peaked on turgor assessment c. Bounding peripheral pulses d. Neck vein engorgement e. Soft, sunken eyeballs

b. Skin remains peaked on turgor assessment e. Soft, sunken eyeballs

Which medication is a potassium sparing diuretic? a. Acetazolamide (Diamox) b. Spironolactone (Aldactone) c. Furosemide (Lasix) d. Bumetanide (Bumex)

b. Spironolactone (Aldactone)

When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte? a. Calcium b. Sodium c. Potassium d. Magnesium

c. Potassium

What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic? a. No change in the antidiabetic regimen b. Decreased need for antidiabetic medication c. Increased blood sugar levels d. Less frequent monitoring of blood sugar level

c. Increased blood sugar levels

Which foods will the nurse recommend for a patient taking loop diuretics? a. Protein-rich foods such as poultry, whole grains, and fish b. Fiber-rich foods such as yellow vegetables, nuts, and lentils c. Potassium-rich foods such as raisins, figs, and bananas d. Sodium-rich foods such as canned vegetables and processed foods

c. Potassium-rich foods such as raisins, figs, and bananas

Which patient assessment would alert the nurse to withhold a loop diuretic? a. Crackles in the lung bases b. +2 pitting peripheral edema c. Serum potassium of 2.6 mEq/L d. Weight gain of 2 pounds in 2 days

c. Serum potassium of 2.6 mEq/L

On admission, a patient with a history of cardiac insufficiency complains of shortness of breath. The nurse auscultates the lungs and notes bilateral crackles throughout both fields. In addition, there is bilateral +2 edema of the lower extremities. Which medication does the nurse anticipate that the healthcare provider will prescribe? a. Allopurinol (Zyloprim) b. Diphenhydramine (Benadryl) c. Mannitol d. Furosemide

d. Furosemide

The nurse has provided patient teaching about potassium sparing diuretic therapy. Which statement by the patient indicates a need for further teaching? a. "I will take my medication in the morning." b. "I will report a weight gain of 2 pounds in 2 days." c. "I will rise slowly when I get up from a sitting position." d. "I will use a salt substitute because I limit my salt intake."

d. "I will use a salt substitute because I limit my salt intake."

The nurse is caring for a 70-year-old who uses hydrochlorothiazide (HydroDIURIL) and enalapril (Norvasc), but whose self-monitored blood pressure (BP) continues to be elevated. Which patient information may indicate a need for a change? a. Patient takes a daily multivitamin tablet. b. Patient checks BP daily just after getting up. c. Patient drinks wine three to four times a week. d. Patient uses ibuprofen (Motrin) daily to treat osteoarthritis.

d. Patient uses ibuprofen (Motrin) daily to treat osteoarthritis.