Question 1

Which processes are critical to the pharmacokinetics of many drugs in the kidneys?

Accepted Answer

Reabsorption and secretion are critical processes in the kidneys that affect the pharmacokinetics of many drugs. Reabsorption can lead to the drug being taken back into the bloodstream from the kidney tubules, while secretion involves the active transport of drugs into the urine.

Question 2

Which substances are reabsorbed in the kidney tubules? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Glucose, sodium, amino acids, and water are all reabsorbed in the kidney tubules. Hydrogen ions are secreted into the tubules.

Question 3

The client complains of frequent urination at night since starting diuretic therapy.What should the nurse teach this client to alleviate this symptom?

Accepted Answer

Taking the diuretic earlier in the day can help reduce nighttime urination by allowing the medication to work during waking hours.

Question 4

Which diuretics are less commonly prescribed due to their very weak diuresis and higher adverse effects?

Accepted Answer

Carbonic anhydrase inhibitors are less commonly prescribed due to their very weak diuresis effect and higher adverse effects compared to other diuretics like loop diuretics, thiazide diuretics, and potassium-sparing diuretics.

Question 5

A client is admitted to a medical-surgical unit with acidosis.During treatment,the client develops confusion,irritability,slow respiration rate,and vomiting.What does the nurse attribute these symptoms to?

Accepted Answer

These symptoms suggest alkalosis, which can occur if acidosis is overtreated, leading to an imbalance in the opposite direction.

Question 6

During an admission assessment,the client tells the nurse that they had a nephrectomy three years ago due to a car accident.Which is the nurse's best understanding of this surgery?

Accepted Answer

DNephrectomy, the surgical removal of a kidney, can impact the body's ability to excrete medications due to reduced kidney function. Therefore, the nurse should consider the potential impact on medication excretion (C) and also communicate this information to the pharmacist for appropriate medication management (D).

Quiz 18: Drugs for Electrolyte and Acid-Base Imbalances

Which processes are critical to the pharmacokinetics of many drugs in the kidneys?

Which substances are reabsorbed in the kidney tubules? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The client complains of frequent urination at night since starting diuretic therapy.What should the nurse teach this client to alleviate this symptom?

Which diuretics are less commonly prescribed due to their very weak diuresis and higher adverse effects?

A client is admitted to a medical-surgical unit with acidosis.During treatment,the client develops confusion,irritability,slow respiration rate,and vomiting.What does the nurse attribute these symptoms to?

During an admission assessment,the client tells the nurse that they had a nephrectomy three years ago due to a car accident.Which is the nurse's best understanding of this surgery?