Deck 28: Drugs Used for Diuresis

Question 1

Which condition warrants the use of acetazolamide (Diamox)as a diuretic?

A) Increased intracranial pressure
B) Increased extravascular fluid pressure
C) Increased intraocular pressure
D) Periorbital edema

Answer 1

Increased intraocular pressure

Question 2

Which premedication assessment(s)would the nurse obtain prior to the initiation of bumetanide (Bumex)? (Select all that apply.)

A) Serum potassium
B) Bowel sounds
C) Lung sounds
D) Orientation level
E) Blood pressure

Answer 2

Serum potassium
Lung sounds
Orientation level
Blood pressure

Question 3

On admission,a patient with a history of cardiac insufficiency complains of shortness of breath.The nurse auscultates the lungs and notes bilateral crackles throughout both fields.In addition,there is bilateral +2 edema of the lower extremities.Which medication does the nurse anticipate that the healthcare provider will prescribe?

A) Allopurinol (Zyloprim)
B) Diphenhydramine (Benadryl)
C) Mannitol
D) Furosemide (Lasix)

Answer 3

Furosemide (Lasix)

Question 4

A 37-year-old male presents at the emergency department reporting severe vomiting for the past 48 hours.When assessing skin turgor,the nurse will:

A) exert pressure against the shin.
B) gently pinch the skin together over the sternum.
C) assess for vein distention.
D) inspect oral mucous membranes.

Question 5

The nurse is reviewing lab work received on a patient admitted with the diagnosis of dehydration.The nurse will notify the physician of which lab value?

A) Serum sodium level: 115 mEq/L
B) Serum potassium level: 5.0 mEq/L
C) Serum sodium level: 140 mEq/L
D) Serum potassium level: 3.5 mEq/L

Question 6

Which medication is a potassium sparing diuretic?

A) Acetazolamide (Diamox)
B) Spironolactone (Aldactone)
C) Furosemide (Lasix)
D) Bumetanide (Bumex)

Question 7

The nurse has provided patient teaching about potassium sparing diuretic therapy.Which statement by the patient indicates a need for further teaching?

A) "I will take my medication in the morning."
B) "I will report a weight gain of 2 lb in 2 days."
C) "I will rise slowly when I get up from a sitting position."
D) "I will use a salt substitute because I limit my salt intake."

Question 8

The nurse transcribes a new order for ethacrynic acid (Edecrin)on a patient with edema resulting from cirrhosis of the liver.Which currently prescribed medication(s)should the nurse report to the ordering healthcare provider? (Select all that apply.)

A) Digoxin
B) Prednisone
C) Tobramycin
D) Lipitor
E) Zofran

Question 9

Which patient assessment would alert the nurse to withhold a loop diuretic?

A) Crackles in the lung bases
B) +2 pitting peripheral edema
C) Serum potassium of 2.6 mEq/L
D) Weight gain of 2 lb in 2 days

Question 10

How soon will diuresis be expected to occur after the nurse has administered 20 mg of furosemide (Lasix)intravenously (IV)to a patient with heart failure?

A) As soon as injected
B) Within 10 minutes
C) After 2 hours
D) After 4 hours

Question 11

A patient who has heart failure and difficulty breathing is being admitted.Which physical assessment(s)indicate(s)fluid volume excess? (Select all that apply.)

A) Rapid,bounding,irregular pulse rate
B) Clear lung sounds
C) 3+ pitting ankle edema
D) Neck vein engorgement
E) Shortness of breath

Question 12

When teaching a patient who is taking thiazide diuretics,the nurse will encourage the patient to increase the intake of which electrolyte?

A) Calcium
B) Sodium
C) Potassium
D) Magnesium

Question 13

What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic?

A) No change in the antidiabetic regimen
B) Decreased need for antidiabetic medication
C) Increased blood sugar levels
D) Less frequent monitoring of blood sugar level

Question 14

Which sign(s)and/or symptom(s)of dehydration may occur as a result of a diuretic? (Select all that apply.)

A) Decreased urine specific gravity
B) Skin remains peaked on turgor assessment
C) Bounding peripheral pulses
D) Neck vein engorgement
E) Soft,sunken eyeballs

Question 15

Which are common signs and symptoms of dehydration? (Select all that apply.)

A) Furrowed tongue
B) Decreased intake and output levels
C) Bounding pulse rate
D) Mental confusion
E) Elastic skin turgor

Question 16

Which foods will the nurse recommend for a patient taking loop diuretics?

A) Protein-rich foods such as poultry,whole grains,and fish
B) Fiber-rich foods such as yellow vegetables,nuts,and lentils
C) Potassium-rich foods such as raisins,figs,and bananas
D) Sodium-rich foods such as canned vegetables and processed foods

Question 17

Which medical condition(s)may contribute to fluid volume excess? (Select all that apply.)

A) Hypertension
B) Liver disease
C) Pregnancy
D) Use of corticosteroids
E) Skin disorders

Question 18

Which nursing intervention(s)would be performed for a patient who is on diuretic therapy? (Select all that apply.)

A) Auscultation of lung sounds
B) Assessment of skin turgor
C) Initiation of electrolyte supplements
D) Positioning techniques
E) Monitoring of intake and output

Question 19

The nurse would expect to assess which serum potassium level in a patient who has severe vomiting and diarrhea?

A) Less than 3.5 mEq/L
B) Between 3.5 and 4.5 mEq/L
C) Between 4.6 and 5 mEq/L
D) Higher than 5.5 mEq/L

Question 20

Which medication,if administered with spironolactone (Aldactone),will alert the nurse to assess the patient for signs and symptoms of hyperkalemia?

A) Propranolol (Inderal)
B) Captopril (Capoten)
C) Furosemide (Lasix)
D) Ibuprofen (Motrin)