Ch. 28 Questions

An older adult patient has been discharged following treatment for a mild case of heart failure. He will be taking a loop diuretic. Which instruction(s) from the nurse are appropriate?

-Take the diuretic at the same time each morning -Be sure to stand up slowly because the medicine may make you feel dizzy if you stand up quickly -Please call your doctor immediately if you notice muscle weakness or increased dizziness

The order reads: "Give mannitol 0.5 g/kg IV now, over 2 hours. The patient weighs 165 lbs and you have a 100-mL vial of 20% mannitol. How many milliliters of mannitol will you prepare for this infusion?

37.5 g; 187.5 mL

Which statement needs to be included when the nurse provides patient education for a patient with heart failure who is taking daily doses of spironolactone (Aldactone)?

Avoid foods that are high in potassium

When monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for:

Decreased serum levels of potassium

A patient with diabetes has a new prescription for a thiazide diuretic. Which statement will the nurse include when teaching the patient about the thiazide drug?

Monitor your blood glucose level closely, because the thiazide diuretic may cause the levels to increase.

The nurse is reviewing the medications that have been ordered for a patient for whom a loop diuretic has just been prescribed. The loop diuretic may have a possible interaction with which of the following?

NSAIDs

A patient is taking an aminoglycoside antibiotic for pneumonia, and will also be taking the loop diuretic furosemide (Lasix) due to fluid overload. The nurse will monitor carefully for which potential effect from the interaction of the two drugs?

Ototoxicity

When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern?

Serum potassium level of 5.8 mEq/L