Nokea
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.
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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 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 nurse is providing care to a client who has an allergy to sulfamethoxazole/trimethoprim. The nurse understands that the client may have cross-sensitivity reactions with which of the following diuretics? Select all that apply.
- A. Chlorothiazide
- B. Furosemide
- C. Chlorthalidone
- D. Metolazone
- E. Spironolactone
Correct Answer: A,C,D
Rationale: A cross-sensitivity reaction may occur with the thiazides (chlorothiazide, chlorthalidone, and metolazone) and sulfonamides (sulfamethoxazole).
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.
The nurse understands that the use of diuretics is contraindicated in clients with which of the following? Select all that apply.
- A. Hyponatremia
- B. Hypokalemia
- C. Hypertension
- D. Anuria
- E. Asthma
Correct Answer: A,B,D
Rationale: Diuretics are contraindicated in clients with known hypersensitivity to the drugs, electrolyte imbalance (hyponatremia and hypokalemia), severe kidney or liver dysfunction, and anuria.