1
Q
- Which effect 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
A
c. Increased blood sugar levels
2
Q
- Which electrolyte should the patient prescribed thiazide diuretics be instructed to increase
theintake of?
a. Calcium
b. Sodium
c. Potassium
d. Magnesium
A
c. Potassium
3
Q
- On admission, a patient with a history of cardiac insufficiency complains of shortness of
breath. thenurse auscultates thelungs and notes bilateral crackles throughout both fields. In
addition, there is bilateral +2 edema of thelower extremities. Which medication does thenurse
anticipate that thehealthcare provider will prescribe?
a. Allopurinol (Zyloprim)
b. Diphenhydramine (Benadryl)
c. Mannitol
d. Furosemide (Lasix)
A
d. Furosemide (Lasix)
4
Q
- Which medication is a potassium sparing diuretic?
a. Acetazolamide (Diamox)
b. Spironolactone (Aldactone)
c. Furosemide (Lasix)
d. Bumetanide (Bumex)
A
b. Spironolactone (Aldactone)
5
Q
- Which time period identifies how soon diuresis will 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
A
b. Within 10 minutes
6
Q
- 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
A
c. Potassium-rich foods such as raisins, figs, and bananas
7
Q
- 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
A
c. Increased intraocular pressure
8
Q
- Which serum potassium level is expected 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
A
a. Less than 3.5 mEq/L
9
Q
- 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)
A
b. Captopril (Capoten)
10
Q
- Which statement by a patient indicates theneed for further teaching about potassium sparing
diuretic therapy?
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.
A
d. ―I will use a salt substitute because I limit my salt intake.‖
11
Q
- 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
A
c. Serum potassium of 2.6 mEq/L
12
Q
- A 37-year-old male presents at the emergency department reporting severe vomiting for
the past 48 hours. Which action will thenurse take when assessing skin turgor?
a. Exert pressure against theshin.
b. Gently pinch the skin together over the sternum.
c. Assess for vein distention.
d. Inspect oral mucous membranes.
A
b. Gently pinch the skin together over the sternum
13
Q
- Which lab value will alert thenurse to notify the physician when reviewing lab work received
on a patient admitted with the diagnosis of dehydration?
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
A
a. Serum sodium level: 115 mEq/L
14
Q
- 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
A
A,C,D,E
a. Rapid, bounding, irregular pulse rate
c. 3+ pitting ankle edema
d. Neck vein engorgement
e. Shortness of breath
15
Q
- Which premedication assessment(s) would the nurse obtain prior to the initiation of bumetanide
(Bumex)? (Select all that apply.)
a. Serum potassium
b. Bowelsounds
c. Lung sounds
d. Orientation level
e. Blood pressure
A
A,C,D,E
a. Serum potassium
c. Lung sounds
d. Orientation level
e. Blood pressure
16
Q
- 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
A
A,B,D
a. Furrowed tongue
b. Decreased intake and output levels
d. Mental confusion
17
Q
- 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
A
A,B,D,E
a. Auscultation of lung sounds
b. Assessment of skin turgor
d. Positioning techniques
e. Monitoring of intake and output.
18
Q
- 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
A
B,E
b. Skin remains peaked on turgor assessment
e. Soft,sunken eyeballs
19
Q
- 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
A
A,B,C,D
a. Hypertension
b. Liver disease
c. Pregnancy
d. Use of corticosteroids
20
Q
- Which disorder(s) contribute to the development of electrolyte disturbances during diuretic
therapy? (Select all that apply.)
a. History of cardiac disease
b. History of renal disease
c. History of hormonal disorders
d. History of psychiatric illness
e. Massive trauma
f. Serious burns
g. Overhydration
A
A,B,C,E F
a. History of cardiac disease
b. History of renal disease
c. History of hormonal disorders
e. Massive trauma
f. Serious burns
21
Q
- 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 thenurse
report to theordering healthcare provider? (Select all that apply.)
a. Digoxin
b. Prednisone
c. Tobramycin
d. Lipitor
e. Zofran
A
a. Digoxin
b. Prednisone
c. Tobramycin
Claytons Basic Pharm For Nursing Ch2
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