Nokea
A nurse is administering acetazolamide to a client. The nurse understands that this drug leads to excretion of which of the following? Select all that apply.
- A. Sodium
- B. Magnesium
- C. Potassium
- D. Bicarbonate
- E. Chloride
Correct Answer: A,C,D
Rationale: Carbonic anhydrase inhibitors, like acetazolamide, result in the excretion of sodium, potassium, bicarbonate, and water.
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After administering metolazone to a client, the nurse monitors for signs of hypokalemia, including which of the following? Select all that apply.
- A. Diarrhea
- B. Anorexia
- C. Depression
- D. Hypoglycemia
- E. Drowsiness
Correct Answer: B,C,E
Rationale: The following are signs of hypokalemia: anorexia, nausea, vomiting, depression, confusion, cardiac arrhythmias, impaired thought process, and drowsiness.
Prior to the administration of furosemide (Lasix), a nurse would assess which of the following? Select all that apply.
- A. Weight
- B. Blood glucose
- C. Pulse
- D. Temperature
- E. Respiratory rate
Correct Answer: A,C,D,E
Rationale: Before administering furosemide (Lasix), the nurse takes the vital signs (blood pressure, pulse, temperature, respiratory rate, and weight).
A nurse is caring for a client with edema due to congestive heart failure (CHF). The primary health care provider has prescribed indapamide. The client is also receiving digoxin. Which intervention would be most appropriate for the nurse to implement?
- A. Encourage oral fluids at frequent intervals during waking hours
- B. Encourage the client to eat or drink between meals and in the evening
- C. Frequently monitor the client's pulse rate and rhythm
- D. Closely monitor the client for signs of hyperkalemia
Correct Answer: C
Rationale: Clients receiving a diuretic, particularly a loop or thiazide diuretic such as indapamide, and a digitalis glycoside concurrently require frequent monitoring of the pulse rate and rhythm.
The nurse is to administer bumetanide. The nurse reviews the client's medication history for possible interacting drugs. Which of the following, if found, would the nurse identify as having an increased risk for toxicity? Select all that apply.
- A. Lithium
- B. Phenytoin
- C. Gentamicin
- D. Warfarin
- E. Digoxin
Correct Answer: A,C,D,E
Rationale: Loop diuretics, like bumetanide, can increase toxicity of lithium, gentamicin, warfarin, and digoxin.
After teaching a group of nursing students about diuretics, the instructor determines that the teaching was successful when the students identify which of the following as causing diuresis by increasing the density of filtrate in the glomerulus? Select all that apply.
- A. Amiloride
- B. Torsemide
- C. Ethacrynic acid
- D. Mannitol
- E. Urea
Correct Answer: D,E
Rationale: Osmotic diuretics, like mannitol and urea, cause diuresis by increasing the density of the filtrate in the glomerulus.