Deck 43: Diuretics

Question 1

The client is being treated with furosemide as well as an aminoglycoside. What effect should the nurse expect to see as a result of the interaction of the drugs?

A) Blurred vision
B) Ototoxicity
C) Bone pain
D) Blood-tinged urine

Answer 1

Ototoxicity

Question 2

The client is being treated with a thiazide diuretic as well as digoxin. He complains to the nurse of experiencing blurred vision. The highest priority nursing intervention is to call the physician because blurred vision:

A) is indicative of digoxin toxicity.
B) is indicative of an anaphylactic reaction.
C) indicates an inadequate dosage of the diuretic.
D) indicates an overdose of the diuretic.

Answer 2

is indicative of digoxin toxicity.

Question 3

A client is taking a thiazide diuretic. The nurse assesses the client's serum glucose level-the fasting blood glucose level is 150 mg/dl. What is an appropriate response by the nurse?

A) Instruct the client to discontinue taking hydrochlorothiazide.
B) Inform the healthcare provider of the glucose level and the possible need for a different diuretic.
C) Instruct the client to take hydrochlorothiazide every other day.
D) Instruct the client to take an antidiabetic drug instead of the diuretic.

Answer 3

Inform the healthcare provider of the glucose level and the possible need for a different diuretic.

Question 4

Thiazide diuretics are contraindicated if the client has:

A) emphysema.
B) arteriosclerotic cardiovascular disease.
C) renal failure.
D) viral infection.

Question 5

The client is being treated with chlorthalidone (Hygroton). In determining the proper time to schedule dosages, the nurse recognizes that the duration of action for the medication is up to _____ hours.

A) 12
B) 24
C) 48
D) 72

Question 6

A client is ordered to receive triamterene (Dyrenium) to decrease her blood pressure. The nurse is evaluating the effectiveness of the medication in returning the blood chemistries to normal. A positive response to the medication is indicated by a(n) _____ K level and a(n) _____ Na level.

A) increased; decreased
B) increased; increased
C) decreased; decreased
D) decreased; increased

Question 7

The client is being treated with a thiazide diuretic. The nurse anticipates that the medication will be administered at:

A) 8:00 AM.
B) 11:30 AM.
C) 4:30 PM.
D) 9:00 PM.

Question 8

A nurse is teaching a client about lifestyle changes when taking a potassium-sparing diuretic. Which statement indicates a need for more teaching?

A) "I need to have my blood drawn frequently."
B) "I need to call the clinic if I am urinating less than every 2 hours."
C) "I need to be careful when out in the sun."
D) "I need to eat foods like bananas frequently."

Question 9

The client is being treated with a thiazide diuretic. The nurse should expect to see an increased serum _____ as a result of treatment with this drug.

A) potassium
B) sodium
C) magnesium
D) calcium

Question 10

Client teaching for a client taking a thiazide diuretic includes which instruction?

A) Instruct the client to add salt liberally to his food.
B) Instruct the client to decrease intake of potassium-rich foods.
C) Instruct the client to check pulse rate if digoxin is taken with hydrochlorothiazide.
D) Advise the client to rise slowly from a sitting to a standing position.

Question 11

The client is being treated with furosemide and a steroid drug as well. As a result of the interaction of the drugs, the nurse should expect to see an increased loss of:

A) potassium.
B) calcium.
C) magnesium.
D) sodium.

Question 12

The client is being treated with a thiazide diuretic. He tells the nurse that he is interested in using herbal preparations and frequently self-medicates with ginkgo. The nurse's most appropriate response to this information is:

A) "Ginkgo can be effectively used with a thiazide diuretic since it decreases blood pressure."
B) "Ginkgo can be used with a thiazide diuretic since it prolongs medication's action."
C) "Ginkgo should not be used with a thiazide diuretic since it increases blood pressure."
D) "Ginkgo should not be used with a thiazide diuretic since it may cause toxicity."