Which of the following diuretics inhibits sodium reabsorption in the kidneys while sparing K+ and hydrogen ions?
- A. Spironolactone
- B. Furosemide
- C. Hydrochlorothiazide
- D. Bumetanide
Correct Answer: A
Rationale: Spironolactone is classified as a potassium-sparing diuretic. It works by inhibiting sodium reabsorption in the kidneys while promoting the retention of potassium and hydrogen ions. This mechanism of action helps in reducing fluid retention without causing excessive loss of potassium, which is a common side effect of other diuretics.
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A client is taking Warfarin for atrial fibrillation. Which of the following client statements indicates a need for further teaching?
- A. I will avoid eating broccoli.
- B. I will use an electric razor to shave.
- C. I will take aspirin for headaches.
- D. I will have my blood tested regularly.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the expected outcome of Valproate therapy?
- A. Decreased fever
- B. Decreased sense of anxiety
- C. Decreased blood pressure
- D. Decreased seizure activity
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Amlodipine. Which of the following instructions should the nurse include during discharge teaching?
- A. Take the medication at bedtime.
- B. Avoid drinking grapefruit juice.
- C. Increase your intake of high-sodium foods.
- D. Expect a dry cough.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been prescribed a Beta Blocker for hypertension. Which of the following findings should the nurse monitor as an adverse effect of this medication?
- A. Bradycardia
- B. Hypertension
- C. Hyperglycemia
- D. Hypernatremia
Correct Answer: A
Rationale: Bradycardia is a common adverse effect of Beta Blockers due to their mechanism of action in slowing down the heart rate. Clients taking Beta Blockers should be monitored for signs of bradycardia, such as a slow heart rate, dizziness, or fainting. Monitoring for this adverse effect is crucial to prevent potential complications and ensure client safety.
Which drug type used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine?
- A. Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- B. Selective serotonin reuptake inhibitors (SSRIs)
- C. Tricyclic antidepressants (TCAs)
- D. Monoamine oxidase inhibitors (MAOIs)
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.