34.8: Review Questions

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Dec 29, 2024
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- Population Health for Nurses (OpenStax)

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Exercise $\PageIndex{1}$

Which symptom is most likely to occur in a client who is taking furosemide?

Bradycardia

Chest pain

Muscle weakness

More concentrated urine

Answer: Muscle weakness

Exercise $\PageIndex{2}$

Which statement indicates that the client needs additional education on their newly prescribed medication, amiloride?

“I will take this medication first thing in the morning.”

“I will report any weight loss that occurs after I start taking it.”

“I will avoid taking nonsteroidal anti-inflammatory medications.”

“I will switch to a salt substitute containing potassium chloride.”

Answer: “I will switch to a salt substitute containing potassium chloride.”

Exercise $\PageIndex{3}$

Which eGFR value is consistent with a client who has chronic renal disease?

90 mL/minute/1.73 m²

75 mL/minute/1.73 m²

45 mL/minute/1.73 m²

120 mL/minute/1.73 m²

Answer: 45 mL/minute/1.73 m²

Exercise $\PageIndex{4}$

Which medication increases solute concentration in the blood to drive fluid shifts for excretion?

Bumetanide

Mannitol

Metolazone

Triamterene

Answer: Mannitol

Exercise $\PageIndex{5}$

The nurse is caring for an older adult female client with a history of osteoporosis who was recently diagnosed with hypertension. Which diuretic would be most appropriate for this client?

Triamterene

Hydrochlorothiazide

Spironolactone

Furosemide

Answer: Hydrochlorothiazide

Exercise $\PageIndex{6}$

Which sign is most concerning for the client receiving mannitol?

Lung congestion and peripheral edema

Increased urine output

Orthostatic hypotension

Elevated blood glucose levels

Answer: Lung congestion and peripheral edema

Exercise $\PageIndex{7}$

The nurse should monitor the client receiving spironolactone for which adverse effect?

Nausea and vomiting

Increased intracranial pressure

Hearing loss

Cardiac arrhythmias

Answer: Cardiac arrhythmias

Exercise $\PageIndex{8}$

The nurse is providing discharge teaching for a client who was started on a thiazide diuretic during this hospitalization. Which statement indicates that additional instruction is required?

“I’m concerned about getting up to go to the bathroom all night every night.”

“I will let the doctor know if I develop leg cramps.”

“I need to read food labels to check for salt.”

“I need to eat some potassium every day for a month or so.”

Answer: “I’m concerned about getting up to go to the bathroom all night every night.”

Exercise $\PageIndex{9}$

Which medication could be prescribed to treat hyperkalemia?

Mannitol

Hydrochlorothiazide

Spironolactone

Furosemide

Answer: Furosemide

Exercise $\PageIndex{10}$

Which of the following statements is correct?

Furosemide is an effective treatment for nephrotic syndrome.

To be effective, the dose of a diuretic must meet the threshold dose for the drug.

Diuretic therapy improves clinical outcomes in clients with acute kidney injury.

Oliguria is an absolute contraindication for diuretic therapy.

Answer: To be effective, the dose of a diuretic must meet the threshold dose for the drug.

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