Nokea
A nurse is administering a diuretic that inhibits reabsorption of sodium and chloride ions in the distal and proximal tubules and in the loop of Henle. Which of the following might the nurse be administering? Select all that apply.
- A. Chlorothiazide
- B. Furosemide
- C. Bumetanide
- D. Mannitol
- E. Spironolactone
Correct Answer: B,C
Rationale: Loop diuretics, like furosemide (Lasix) and bumetanide (Bumex), cause diuresis by inhibiting reabsorption of sodium and chloride ions in the distal and proximal tubules and in the loop of Henle.
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A nurse caring for a client with diabetes controlled with metformin recently began taking a drug for edema. The nurse notices that the client's blood glucose levels are increasing. Which of the following diuretics are likely to cause hyperglycemia? Select all that apply.
- A. Hydrochlorothiazide
- B. Furosemide
- C. Chlorthalidone
- D. Acetazolamide
- E. Metolazone
Correct Answer: A,C,E
Rationale: Thiazide diuretics, like hydrochlorothiazide, chlorthalidone, and metolazone, can result in hyperglycemia in clients receiving antidiabetic drugs, like metformin.
A client is receiving mannitol as treatment to promote diuresis in acute renal failure. The nurse would expect to administer the drug by which route?
- A. Intramuscularly
- B. Subcutaneously
- C. Intravenously
- D. Orally
Correct Answer: C
Rationale: Mannitol is administered intravenously.
A client is prescribed amiloride. The nurse would administer this drug cautiously if the client had a history of which of the following? Select all that apply.
- A. Gout
- B. Asthma
- C. Diabetes
- D. HIV
- E. Hepatic disease
Correct Answer: A,C,E
Rationale: Potassium-sparing diuretics, like amiloride, should be used cautiously in clients with gout, diabetes, and hepatic disease.
A nurse is preparing to administer spironolactone to a client. When reviewing the client's medical record, the nurse would be alert for the development of hyperkalemia if the client was also receiving which of the following?
- A. Lisinopril (Prinivil)
- B. Metoprolol (Lopressor)
- C. Terazosin (Hytrin)
- D. Diltiazem (Cardizem)
Correct Answer: A
Rationale: Spironolactone when given with ACE inhibitors (lisinopril) can lead to hyperkalemia.
A primary health care provider has prescribed a loop diuretic for a client with hypertension. The client also has diabetes mellitus. The nurse would assess the client for which of the following after administering the drug?
- A. Sudden pain in the joints
- B. Increased blood glucose levels
- C. Occurrence of gout attacks
- D. Sudden increase in weight
Correct Answer: B
Rationale: The nurse should monitor for increased blood glucose levels in the diabetic client receiving a loop diuretic.