prep u ch 32

A patient receives furosemide intravenously at 9 AM. The nurse would expect to assess peak effects of the drug at which time? a) 10:00 AM b) 9:15 AM c) 9:30 AM d) 10:30 AM Submit your answer

9:30 AM

A clinic nurse has been assigned to follow up with a group of patients on hydrochlorothiazide therapy. Which patient will the nurse most closely monitor for hyponatremia? a) A 42-year-old male who has advanced arteriosclerosis b) A 36-year-old female who has diabetes c) A 71-year-old female who has advanced arteriosclerosis d) A 23-year-old male who has diabetes Submit your answer

A 71-year-old female who has advanced arteriosclerosis

The students are learning about the maintaining of electrolytes in the body by actions within the kidney. Where do the students learn that the fine-tuning of potassium levels occurs? a) Proximal convoluted tubule b) Loop of Henle c) Distal convoluted tubule d) Glomerulus Submit your answer

Distal convoluted tubule

A male client is excited because it is football season. He has season tickets and attends most games with his friends. At his latest appointment, the client's blood pressure is elevated. What does the nurse suspect is the cause? a) He is anxious about his team. b) He is developing comorbidities. c) He has become a vegetarian until his team wins the championship. d) He is consuming excessive salty foods at the games. Submit your answer

He is consuming excessive salty foods at the games.

Your 91-year-old patient is being discharged on the diuretic spironolactone (Aldactone). What is the major adverse effect of this type of medication?

Hyperkalemia

Your patient has just been diagnosed with acute renal failure. The patient asks you what in their kidneys was the functional unit. What would you reply? a) Nephron b) Glomerulus c) Renal capsule d) Renal pelvises

Nephron

You are an ED nurse caring for a patient who is receiving furosemide for treatment of pulmonary edema. Which of the following will you monitor to observe for adverse effects of the drug? a) Blood oxygen saturation b) Bone marrow function c) Temperature d) Potassium levels Submit your answer

Potassium levels

Your patient is a 36-year-old man who undergoes dialysis three times weekly while waiting for renal transplant. A diuretic has been added to his current medications to combat developing edema. Why would potassium-sparing diuretics be contraindicated? a) The promote excretion of potassium. b) They may cause hyperkalemia. c) They may cause rebound edema. d) They are strong diuretics. Submit your answer

They may cause hyperkalemia. Correct

The countercurrent mechanism occurs in the loop of Henle. a) True b) False

True

The kidneys receive approximately what percentage of the cardiac output? a) 40% b) 25% c) 5% d) 15%

b

The students are studying the male reproductive system. The instructor tells the students that in the male, the urethra leaves the urinary bladder and passes through what? a) Vas deferens b) Renal cortex c) Prostate gland d) Renal calyx

c

A male client presents to the emergency department with shortness of breath, dizziness, and confusion. He is diagnosed with severe congestive heart failure. The physician orders high-dose furosemide continuous IV infusions. What does the nurse expect the rate of dosage to be? a) 5 mg/min or less b) 8 mg/min or less c) 6 mg/min or less d) 4 mg/min or less

d

A female patient reports that she has frequent muscle cramps while on hydrochlorothiazide therapy. The nurse will advise her to a) drink plenty of fluids. b) eat potassium-rich foods. c) take calcium supplements. d) include high-sodium foods in her diet.

eat potassium-rich foods.

A physician has prescribed a loop diuretic for a patient with hypertension. The patient also has diabetes mellitus. What condition should the nurse monitor for in this patient after administering the prescribed drug? You selected: Increased blood glucose levels

ncreased blood glucose levels