Deck 35: Diuretic Therapy and the Pharmacotherapy of Renal Failure

Question 1

A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?
1)Dehydration
2 Hypernatremia
3)Fluid volume excess
4)Hyperkalemia

Answer 1

3

Question 2

The nurse caring for a client in renal failure should question an order for which drug?
1)Acetylsalicylic acid (aspirin) 162 mg daily
2 Acetaminophen (Tylenol) 1 g four times daily
3)Erythromycin (Emycin) 500 mg four times daily
4)Aluminum hydroxide gel 30 ml every four hours as needed

Answer 2

1

Question 3

A client has been diagnosed with chronic renal failure, and is receiving hydrochlorothiazide (HCTZ). The nurse has taught the client about the importance of kidney function, and evaluates that learning has occurred when the client makes which statements? Select all that apply.
1) "The kidneys balance the fluid and electrolytes in my body."
2) "The kidneys help my heart by balancing potassium."
3)"The kidneys help regulate the oxygen levels in my blood."
4)"The kidneys help decrease infections by excreting bacteria."
5)"The kidneys keep blood pressure from getting too low."

Answer 3

1, 2, 5

Question 4

A client has severe protein malnutrition, and is taking a drug that is 99% bound to albumin. What alteration in the concentration of this drug in the urinary filtrate will occur?
1)An increase in the amount of drug filtered into Bowman's capsule
2 A decrease in the amount of drug reabsorbed across the walls of the renal tubule
3)An increase in the amount of drug passively secreted across the walls of the renal tubule
4)An increase in the amount of drug actively secreted across the walls of the renal tubule

Question 5

The formation of urine is completed at which structure?
1)Glomerulus
2)Collecting duct
3)Ureter
4)Henle's loop

Question 6

Which substances enter the filtrate by active secretion? Select all that apply.
1)Potassium
2 Sodium
3)Chloride
4)Hydrogen
5) Phosphate

Question 7

The nurse is reviewing results of a routine urinalysis that indicates presence of protein in the urine. The nurse interprets this finding to mean that:
1) There is likely a mistake with the results, and the client should have another test done.
2)The client probably has kidney damage.
3)The results are probably insignificant if the amount of protein is very small.
4)The client is in acute renal failure, and should be hospitalized.

Question 8

The nurse is caring for clients on a renal failure unit, and recognizes which of the following as indications for diuretic therapy? Select all that apply.
1)Confusion and ataxia
2 Generalized edema and decreased urine output
3)Visual and auditory hallucinations
4)Blood pressure of 200/98 mm/Hg
5) Pinpoint pupils and extreme paranoia

Question 9

The nurse caring for a client with renal failure will question the use of a usual dose of which of the following? Select all that apply.
1) Gentamicin (Garamycin)
2) Avorstatin (Cholestyramine)
3) Digoxin (Lanoxin)
4) Fluvastatin (Lescol)

Question 10

The nurse is managing care for a client with acute renal failure. What does the nurse recognize as the most important client safety precaution with regard to medication administration?
1)Review the client's medication regimen to identify any nephrotoxic drugs.
2 Review the client's medication regimen to identify any drugs that increase fluid retention.
3)Ensure that the client's fluid intake and output are measured precisely.
4)Plan to administer less-than-average doses of all medications prescribed for the client.