Nokea
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.
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A nurse is preparing to administer spironolactone to a client. The nurse would contact the primary health care provider about the need to change the order if the client has a history of which of the following?
- A. Hyperkalemia
- B. Liver disease
- C. Gout
- D. Diabetes
Correct Answer: A
Rationale: Potassium-sparing diuretics are contraindicated in clients with hyperkalemia.
A nurse is assessing a client after administering a diuretic. Which of the following would lead the nurse to suspect that the client is experiencing a fluid and electrolyte imbalance? Select all that apply.
- A. Dry mouth
- B. Diaphoresis
- C. Muscle cramps
- D. Hypertension
- E. Tachycardia
Correct Answer: A,C,E
Rationale: Warning signs of a fluid and electrolyte imbalance include dry mouth, thirst, lethargy, weakness, drowsiness, restlessness, muscle pain or cramps, confusion, GI disturbances, hypotension, oliguria, tachycardia, and seizures.
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 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 may notice a decrease in diuretic effect when furosemide (Lasix) is given with which of the following drugs? Select all that apply.
- A. Phenytoin
- B. Naproxen
- C. Digoxin
- D. Lithium
- E. Ibuprofen
Correct Answer: A,B,E
Rationale: A nurse may notice a decrease in diuretic effect when furosemide (Lasix) is given with hydantoins (phenytoin) and NSAIDs (naproxen and ibuprofen).