N4 Diuretic test

From evolve pharm - Lilley book

1. Which of the following laboratory values should be assessed to pick up an adverse response to hydrochlorothiazide (HydroDIURIL)?
A. Sodium levels
B. Glucose levels
C. Calcium levels
D. Chloride levels

2. When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that:
A. Moderate doses of two different types of diuretics are more effective than a large dose of one type
B. This combination promotes diuresis but decreases the risk of hypokalemia
C. This combination prevents dehydration and hypovolemia
D. Using two drugs increases osmolality of plasma and the glomerular filtration rate

3. The nurse will check the laboratory values of a patient who has started on furosemide (Lasix) because a known side effect of this medication is:
A. Hyperchloremia
B. Hypernatremia
C. Hypokalemia
D. Hypophosphatemia

4. A patient is admitted to the hospital with pneumonia and has a history of chronic renal insufficiency. The physician orders furosemide (Lasix) 40 mg twice a day because it:
A. Will not cause potassium loss
B. Is effective in treating persons with pulmonary congestion
C. Is effective in treating persons with renal insufficiency
D.Will increase pO2 levels

5. A patient taking spironolactone (Aldactone) requests assistance with dietary choices. The nurse would recommend all of the following except:
A. Lean meat
B. Bananas
C. Apples
D. Squash

6. The nurse would question the use of mannitol on which of the following patients?
A. 67-year-old patient who ingested a poisonous substance
B. 21-year-old head injury patient
C. 47-year-old patient with anuria
D. 55-year-old patient receiving cisplatin to treat ovarian cancer

7. Acetazolamide (Diamox) is used to treat all of the following except:
A. Edema
B. Metabolic acidosis
C. Seizures
D. Acute glaucoma

8. When preparing to administer furosemide (Lasix) intravenously, the nurse plans implementation based on knowledge that the medication should be administered no faster than:
A. 2 mg/min
B. 6 mg/min
C. 12 mg/min
D. 20 mg/min

9. Potassium-sparing diuretics may cause which of the following adverse reactions?
A. Hyperkalemia, GI upset
B. Confusion, drowsiness, ataxia
C. Gynecomastia, decreased libido, impotence
D. All of the above

10. A patient asks about taking potassium supplements while taking chlorothiazide (Diuril). The nurse 's best response would be:
A. "You are correct about your concern. I will make sure that you get some right away."
B. "I will call your doctor and let him know of your concern."
C. "Potassium supplements are usually not necessary with this type of diuretic."
D. "You are on a diuretic that is potassium-sparing, so there is no need for extra potassium."

11. The nurse would expect to administer which diuretic to treat a patient diagnosed with primary hyperaldosteronism?
A. spironolactone (Aldactone)
B. amiloride (Midamor)
C. triamterene (Dyrenium)
D. furosemide (Lasix)

12. The nurse prepares to administer which diuretic to treat a patient suffering from acute pulmonary edema?
A. spironolactone (Aldactone)
B. amiloride (Midamor)
C. triamterene (Dyrenium)
D. furosemide (Lasix)

13. When assessing for therapeutic effects of mannitol, the nurse would expect to see:
A. Decreased intracranial pressure
B. Decreased excretion of therapeutic medications
C. Increased urine osmolality
D. Decreased serum osmolality

14. When assessing a patient for side effects of triamterene (Dyrenium), the nurse would specifically monitor for:
A. Hypokalemia
B. Hypoglycemia
C. Hyperkalemia
D. Hypernatremia

15. The patient asks the nurse why the doctor prescribed acetazolamide (Diamox), a diuretic, to treat gout. The nurse responds based upon the knowledge that:
A. Diamox causes an alkaline urine, which facilitates the elimination of uric acid
B. Diamox increases alkalinity of the urine, thus decreasing the formation of uric acid
C. Diamox causes an acid urine, which facilitates the elimination of uric acid
D. Diamox decreases alkalinity of the urine, thus decreasing the formation of uric acid