Nokea
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).
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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 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.
A nurse is reviewing the laboratory test results of a client who is receiving diuretic therapy. The nurse determines that the client is at risk for electrolyte imbalance based on which results? Select all that apply.
- A. Potassium 4.5 mEq/L
- B. Sodium 139 mEq/L
- C. Magnesium 2.0 mEq/L
- D. Sodium 124 mEq/L
- E. Potassium 2.9 mEq/L
Correct Answer: D,E
Rationale: Sodium levels below 132 mEq/L, such as 124 mEq/L, or above 145 mEq/L would indicate an imbalance. Potassium imbalances would occur with levels below 3.0 mEq/L, such as 2.9 mEq/L.
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.
A client is prescribed metolazone. As part of the client's teaching plan, the nurse instructs the client to increase his consumption of potassium-rich foods. The nurse determines that the teaching was successful when the client identifies which of the following as a good choice? Select all that apply.
- A. Bananas
- B. Shrimp
- C. Asparagus
- D. Salmon
- E. Peanuts
Correct Answer: A,C,D,E
Rationale: The top 10 foods with the highest amount of potassium per serving include white beans, dark leafy greens, baked potatoes with skin on, dried apricots, acorn squash, plain low-fat yogurt, salmon, avocado, mushrooms, and bananas.