Question 1

The nurse is preparing to provide education on daily self-monitoring for a client with congestive heart failure prescribed a diuretic. Which information should the nurse plan to include in the teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Weight, pulse, and blood pressure are crucial for self-monitoring in a client with congestive heart failure on diuretics. Weight changes can indicate fluid retention or loss. Monitoring pulse and blood pressure helps assess cardiovascular response to the medication and disease progression.

Question 2

The educator is reviewing the physiology of the renal system with a nurse. Which statement made by the nurse indicates further teaching is required?

Accepted Answer

The kidneys do not stimulate white blood cell production; this is the function of the bone marrow. The correct functions of the kidneys are to help regulate blood pressure, regulate the acid-base balance of body fluids, and produce the active form of vitamin D.

Question 3

The nurse is reviewing the laboratory reports for a client with chronic kidney failure. Which lab should the nurse understand reflects the progression of the kidney disease?

Accepted Answer

Glomerular filtration rate (GFR) is the best indicator for the progression of chronic kidney disease as it measures the rate at which the kidneys are filtering waste products from the blood. As kidney function declines, GFR decreases, indicating worsening kidney disease. Serum creatinine and blood urea nitrogen (BUN) levels also provide information about kidney function, but GFR is considered the gold standard for assessing kidney function. Urinalysis can provide information about the presence of protein or blood in the urine, which can be a sign of kidney damage, but it is not a direct measure of kidney function.

Question 4

The educator is preparing to review the diuretics that do not require potassium supplements with a nurse. Which diuretics should the educator include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Amiloride (Midamor) and Spironolactone (Aldactone) are potassium-sparing diuretics, meaning they do not lead to potassium loss in the urine, unlike other types of diuretics. Therefore, they typically do not require supplementation with potassium.

Question 5

Which diuretic is most effective in reducing the mortality of a client with heart failure?

Accepted Answer

Spironolactone (Aldactone) is an aldosterone antagonist that has been shown to reduce mortality in patients with heart failure, particularly by reducing the risk of both sudden cardiac death and death from progressive heart failure.

Question 6

Which should the nurse recognize a client with acute renal failure cannot effectively regulate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A client with acute renal failure cannot effectively regulate fluid balance, electrolyte balance, the pH of body fluids, and blood pressure due to impaired kidney function. The kidneys play a crucial role in these processes, and their failure disrupts these regulatory mechanisms. Heart rate is primarily regulated by the cardiovascular and nervous systems, not directly by the kidneys.

Question 7

The nurse has provided dietary education for a client prescribed furosemide (Lasix). Which statement made by the client indicates an understanding of the information?

Accepted Answer

Furosemide (Lasix) is a loop diuretic that can cause potassium depletion. Oranges are a good source of potassium, so increasing their consumption can help prevent potassium depletion. Green, leafy vegetables and poultry do not provide a significant amount of potassium, and grains are not specifically recommended for clients taking furosemide.

Question 8

The nurse has provided education for a client with diabetes type I prescribed hydrochlorothiazide (Microzide). Which statement made by the client indicates an understanding of the information?

Accepted Answer

The answer of The nurse has provided education for a...

Question 9

Which should the nurse recognize is associated with chronic kidney disease (CKD)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which should the nurse recognize is associated...

Question 10

Which vital signs should the nurse assess prior to the administration of a diuretic? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Before administering a diuretic, it is essential to assess the patient's pulse and blood pressure. Diuretics can affect fluid and electrolyte balance, impacting blood pressure and heart rate. Temperature, respirations, and pain are not directly influenced by diuretics and are not critical to assess specifically for diuretic administration.

Quiz 24: Diuretic Therapy and Drugs for Kidney Failure

The educator is reviewing the physiology of the renal system with a nurse. Which statement made by the nurse indicates further teaching is required?

The nurse is reviewing the laboratory reports for a client with chronic kidney failure. Which lab should the nurse understand reflects the progression of the kidney disease?

The educator is preparing to review the diuretics that do not require potassium supplements with a nurse. Which diuretics should the educator include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which diuretic is most effective in reducing the mortality of a client with heart failure?

Which should the nurse recognize a client with acute renal failure cannot effectively regulate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse has provided dietary education for a client prescribed furosemide (Lasix) . Which statement made by the client indicates an understanding of the information?

The nurse has provided education for a client with diabetes type I prescribed hydrochlorothiazide (Microzide) . Which statement made by the client indicates an understanding of the information?

Which should the nurse recognize is associated with chronic kidney disease (CKD) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which vital signs should the nurse assess prior to the administration of a diuretic? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.