Chapter 29

Question 1

What do diuretics do

Answer 1

Make urine faster and void it more often

Question 2

When would we give a diuretic

Answer 2

Heart failure
Fluid overload
High blood pressure
Prevent kidney damage

Question 3

When we give a diuretic what two things get removed from the body

Answer 3

Sodium
Water

Question 4

What is the least potent diuretic to the most potent diuretic

Answer 4

Thiazide
Potassium sparing
Osmotic
Loop
Carbonic anhydrase inhibitors

Question 5

Do all diuretics act on one site of the kidney or different sites

Answer 5

Different sites

Question 6

When is the best time to give a diuretic

Answer 6

In the morning

Question 7

What carbonic anhydrase inhibitor diuretic is commonly used for glaucoma

Answer 7

Acetazolamide

Question 8

When should you not give acetazolamide

Answer 8

Hyponatremia
Hypokalemia

Question 9

Low potassium levels do what to the heart

Answer 9

Dysrhythmia

Question 10

Acetazolamide should not be given with what drug because it increases it’s toxicity

Answer 10

Digoxin

Question 11

If someone is allergic to sulphonamide antibiotics they should not take which diuretic

Answer 11

Furosemide

Question 12

What diuretic often needs a potassium supplement to be given

Answer 12

Loop diuretics

Question 13

What type of meds impact blood pressure

Answer 13

Diuretics

Question 14

What type of diuretic can cause low WBC, platelets, sodium, potassium

Answer 14

Loop diuretics

Question 15

What drug should not be given with loop diuretics because it will cause it to not work

Answer 15

NSAIDs

Question 16

Loop diuretics increase the toxicity of which drug

Answer 16

Lithium

Question 17

What diuretic should avoid sun exposure

Answer 17

Loop diuretic

Question 18

What type of diuretic is used to pull fluid out of the cerebral tissue

Answer 18

Osmotic

Question 19

What diuretic causes thrombophlebitis and convulsions

Answer 19

Osmotic

Question 20

What diuretic can only be given by IV infusion

Answer 20

Mannitol

Question 21

What diuretic can form crystals if exposed to low temperatures

Answer 21

Mannitol

Question 22

Potassium sparing diuretics do what to potassium levels

Answer 22

Should not alter them but can cause hyperkalemia

Question 23

What diuretic has cardio protective effects

Answer 23

Spironolactone

Question 24

Spironolactone should not be given with what drug because it will cause hyperkalemia

Answer 24

ACE inhibitors

Question 25

At what level of potassium should Spironolactone be held

Answer 25

Greater than 5.5

Question 26

What diuretic can cause gynecomastia, amenorrhea, irregular menses

Answer 26

Spironolactone

Question 27

Spironolactone should not be given with what drug

Answer 27

Lithium

Question 28

HCTZ is the abbreviation for which diuretic

Answer 28

Hydrochlorothiazide

Question 29

Thiazides cannot be used when the creatinine clearance is less than

Answer 29

30-50 ml/min

Question 30

What diuretic can be given even when creatinine clearance is low

Answer 30

Loop

Question 31

What diuretic has a ceiling effect

Answer 31

Hydrochlorothiazide

Question 32

What diuretic causes increase fall risk for elderly

Answer 32

Hydrochlorothiazide

Question 33

What does the nurse need to do before giving a diuretic

Answer 33

BP
Weight
Electrolytes

Question 34

What foods are high in potassium

Answer 34

Bananas
Oranges
Dates
Apricots
Raisins
Broccoli
Green beans
Potatoes
Tomatoes
Meats
Fish
Wheat bread
Legumes

Question 35

Excessive consumption of what food can increase hypokalemia when taking diuretics

Answer 35

Licorice