Loop Diuretics NCLEX Questions

You're educating a group of new nurse graduates about loop diuretics. One topic you discuss is ototoxicity. You ask the new nurses to explain how to prevent this adverse side effect in a patient prescribed a loop diuretic. Which response by one of the new nurses is correct?* A. "Always administer intravenous loop diuretics slowly." B. "Monitor for signs and symptoms of low potassium levels because this increases the risk of inner ear damage while taking loop diuretics." C. "Administer the medication with meals." D. "Avoid administering loop diuretics with a tetracycline."

A

Which patients below may be prescribed a loop diuretic based on their diagnosis? Select all that apply:* A. A 58-year-old male with congestive heart failure. B. A 69-year-old female with pulmonary edema. C. A 45-year-old male with hypercalcemia. D. A 50-year-old male experiencing a gout attack.

A, B, and C

You're developing a plan of care for a patient with fluid volume overload related to heart failure exacerbation. The physician has prescribed an IV loop diuretic. What nursing interventions will you include in the patient's plan of care? Select all that apply:* A. Perform and assess daily weights. B. Educate the patient about consuming a low potassium diet. C. Strict measuring of the patient's daily intake and output. D. Encourage the patient to drink 2 L of fluids per day. E. Assess lung sounds every shift.

A, C, and E

A patient with heart failure is prescribed Digoxin and a loop diuretic. The nurse knows that what finding below would increase a patient's risk of developing Digoxin toxicity?* A. Magnesium level 1.8 mg/dL B. Potassium 2 mEq/L C. BUN 15 D. Albumin 5 g/dL

B

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?* A. Calcium level 9 mg/L B. Potassium level 1.5 mEq/L C. Blood pressure 102/78 D. Sodium level 144

B

What electrolyte imbalances would the nurse monitor for in the patient who is taking a loop diuretic? Select all that apply:* A. Hyperkalemia B. Hypocalcemia C. Hypernatremia D. Hypokalemia E. Hypomagnesemia

B, D, and E

Select all the medications below that are considered loop diuretics:* A. Chlorothiazide B. Bumetanide C. Triamterene D. Spironolactone E. Furosemide F. Torsemide G. Hydrochlorothiazide

B, E, and F.

Loop diuretics are effective with inhibiting sodium reabsorption within the nephron because it inhibits?* A. the sodium-chloride transporter B. the effects of aldosterone on the distal convoluted tubule C. the sodium-potassium-chloride cotransporter D. the transport of bicarbonate by the proximal convoluted tubule

C

The physician prescribes the patient a loop diuretic. As the nurse you know that this type of diuretic causes diuresis by MAINLY affecting what structure in the nephron?* A. Distal convoluted tubule B. Descending limb of the loop of Henle C. Proximal convoluted tubule D. Ascending limb of the loop of Henle

D

You're providing discharge instructions to a patient who will be taking a loop diuretic at home. Which statement by the patient demonstrates they did NOT understand the teaching material and requires that you reinforce some of the teaching points?* A. "I will eat a diet rich in potatoes, bananas, avocadoes, strawberries, and spinach." B. "I will weight myself daily and report to my physician if I gain more than 3 lbs in 1 day." C. "I will change position slowly because I can become dizzy easily while taking this medication." D. "This medication can cause dehydration, so I will stay hydrated by consuming at least 2 L or more of fluid per day."

D