CH 24 Diuretic

Question 1

4) Which conditions should the nurse anticipate the healthcare provider to possibly prescribe a diuretic?
Select all that apply.
1.	Heart failure
2.	Cerebrovascular accident
3.	Hypertension
4.	Acute kidney injury
5.	Ketoacidosis

Answer 1

1. Heart failure
2. Hypertension
3. Acute kidney injury

Question 2

5) The nurse suspects a client receiving chlorothiazide (Diuril) is experiencing side effects from the prescription. Which assessment finding supports the nurse’s suspicion?
1. Ataxia and frequent diarrhea
2. Serum potassium level of 3.0 mEq/L and low blood pressure
3. Serum sodium level of 160 mEq/L and headaches
4. Mental confusion and dependent edema

Answer 2

2. Serum potassium level of 3.0 mEq/L and low blood pressure

Question 3

14) An older adult receiving ethacrynic acid (Edecrin) tells the nurse he or she doesn’t hear as well as he or she used to. Which statement should the nurse include in the response?
1. “You may be dehydrated; are you drinking enough fluid?”
2. “I will let your healthcare provider know about this; it could be a side effect of your medication.”
3. “How long have you been having difficulty hearing?”
4. “I will schedule a hearing exam; this could be a side effect of your medication.”

Answer 3

2. “I will let your healthcare provider know about this; it could be a side effect of your medication.”

Question 4

7) The healthcare provider has prescribed hydrochlorothiazide (HCTZ) for a client with chronic renal failure. Which assessment finding indicates the treatment is ineffective?
1. Weak pulses
2. Hypotension
3. Poor skin turgor
4. Wheezing

Answer 4

4. Wheezing

Question 5

19) The nurse is reviewing the medical history of a client prescribed hydrochlorothiazide (Microzide). Which condition should the nurse be concerned about?
1. Hypertension
2. Asthma
3. Gout
4. Hypothyroidism

Answer 5

1. Hypertension

Question 6

23) The nurse has provided education for a client with diabetes type I prescribed hydrochlorothiazide (Microzide). Which statement made by the client indicates an understanding of the information?
1. “I expect my blood glucose to be elevated.”
2. “I anticipate to monitor my blood glucose more frequently.”
3. “I can expect my hemoglobin A1C to be elevated.”
4. “I expect I will need more insulin to help control my glucose.”

Answer 6

1. “I expect my blood glucose to be elevated.”

Question 7

11) A patient receiving chlorothiazide (Diuril) has developed hypokalemia. Which assessment findings support the diagnosis?
1. Hyperglycemia
2. Heart palpitations
3. Increased urine output
4. Diarrhea

Answer 7

2. Heart palpitations

Question 8

13) The nurse is preparing the education for a client prescribed chlorothiazide (Diuril). Which information should the nurse include in the teaching?
1. Consumption of foods high in potassium
2. Assessment of blood glucose daily
3. Daily weights with a report of a gain of more than 1 pound in 24 hours
4. Report change in hearing

Answer 8

1. Consumption of foods high in potassium

Question 9

17) Which is the most appropriate food for the nurse to recommend to a client to eat that is prescribed a loop diuretic?
5. Meat
6. Bananas
7. Cheese
8. Yogurt

Answer 9

6. Bananas

Question 10

28) The nurse is preparing to provide education on daily self-monitoring for a client with congestive heart failure prescribed a diuretic. Which information should the nurse plan to include in the teaching?
Select all that apply.
1.	Weight
2.	Pulse
3.	Temperature
4.	Blood pressure
5.	Respiratory rate

Answer 10

1. Weight
2. Pulse
3. Blood pressure

Question 11

9) Which information should the nurse include when providing education for an older client prescribed chlorothiazide (Diuril)?
1. “Take the medication early in the morning.”
2. “Avoid foods that are high in potassium.”
3. “It is alright to have a glass of wine with this medication.”
4. “Take the medication on an empty stomach.”

Answer 11

1. “Take the medication early in the morning.”

Question 12

21) Which diuretic is most effective in reducing the mortality of a client with heart failure?
1. Chlorothiazide (Diuril)
2. Acetazolamide (Diamox)
3. Furosemide (Lasix)
4. Spironolactone (Aldactone)

Answer 12

4. Spironolactone (Aldactone)

Question 13

22) The nurse has provided education for a client with diabetes type I prescribed hydrochlorothiazide (Microzide). Which statement made by the client indicates an understanding of the information?
1. “I expect my blood glucose to be elevated.”
2. “I anticipate to monitor my blood glucose more frequently.”
3. “I can expect my hemoglobin A1C to be elevated.”
4. “I expect I will need more insulin to help control my glucose.”

Answer 13

1. “I expect my blood glucose to be elevated.”

Question 14

8) The nurse has completed the dietary teaching for a client prescribed spironolactone (Aldactone). Which statement made by the client indicates further teaching is required?
1. “I am really happy that I can have my cranberry juice.”
2. “I can still have my orange juice and bananas for breakfast.”
3. “I usually eat an apple a day to stay regular.”
4. “I love to eat eggs and toast in the morning.”

Answer 14

2. “I can still have my orange juice and bananas for breakfast.”

Question 15

10) A client prescribed spironolactone (Aldactone) asks the nurse which fluids they should drink to prevent dehydration. Which response should the nurse provide?
1. “Citrus juices are very good for rehydration.”
2. “Any kind of fluid is okay, but avoid alcohol.”
3. “Plain water is really the best.”
4. “Electrolyte-replacement drinks like sports drinks.”

Answer 15

3. “Plain water is really the best.”

Question 16

15) Which is the client at risk for that is receiving spironolactone (Aldactone)?
1. Pancytopenia
2. Aplastic anemia
3. Hyperkalemia
4. Hyponatremia

Answer 16

3. Hyperkalemia