olympics 6

Question 1

what would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic

Answer 1

increased blood sugar levels

Question 2

a patient is in an urgent care center and is receiving treatment for mild hypoatremia after spending several hours doing gardening work in the heat of the day ,the nurse expects that which drug therapy will bemused to treat this condition

Answer 2

oral administration of sodium chloride tablets

Question 3

A woman taking tolterodine for overactive bladder tells you that she now has all the following changes noted below. Which ones will you report to the healthcare provider? (Select all that apply.)

Answer 3

Chest pain, Irregular heart rate, Swollen ankles

Question 4

the nurse has provided patient teaching about potassium sparing diuretic therapy . which statement by the patient indicated a need for further teaching

Answer 4

I will use a salt substrate because I limit my salt intake

Question 5

how soon will diuresis. be expected to occur after the nurse has aministerd 20 mg of fuersomide ( lassie_ intravenously (iv) to a patient with heart failure

Answer 5

within 10 minutes

Question 6

the nurse is preparing to give a potassium supplest . which laboratory test should be checked before the patient receives a dose of potassium

Answer 6

serum potassium levels

Question 7

A patient with chronic congestive heart failure has repeated hospitalizations in spite of ongoing treatment with hydrochlorothiazide [HydroDIURIL] and digoxin. The prescriber has ordered spironolactone [Aldactone] to be added to this patient’s drug regimen, and the nurse provides education about this medication. Which statement by the patient indicates understanding of the teaching?

Answer 7

“I need to stop taking potassium supplements.”

Question 8

besides having a diuretic effects for patients with congestive heart failure , thiazides are also used to treat what

Answer 8

diabetes insipidus , hepatic failure , post menopausal osteoporosis

Question 9

a patient was In a motor vehicle accident sustained a severe head injury and is. Brought into the emergency department . the provider ordered intravenous mannitol [ osmitrol ] . the nurse knows that this is given to

Answer 9

reduce intracranial pressure

Question 10

when teaching a patient who is taking thiazide diuretics , the nurse will encourage the patient to increase the intake of which electrolyte

Answer 10

potassium

Question 11

common sign and symptoms of dehydration

Answer 11

furrowed tongue , decreased intake and output levels , mental confusion

Question 12

the nurse is reviewing lab work received on a patient admitted with the diagnosis of dehydration, the nurse will notify the physician of which lab value

Answer 12

serum sodium level 115 mEQ/L

Question 13

s

Answer 13

s

Question 14

a 37 year old patient male presents at the energy department reporting severe vomiting for the past 48 hours . when assign skin turgor the nurse will

Answer 14

gently pinch the skin together over the sternum

Question 15

a 70 year old has been prescribed loop diuretics to manage hyper tension . which side effects are most important to assess for in this patient

Answer 15

high blood glucose levels , low blood potassium levels , low blood sodium levels

Question 16

A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?

Answer 16

He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.

Question 17

which stamen made by a patient taking a loop diuretic indicated the need for more teaching

Answer 17

when I travel by car , I always skip my diuretic that day

Question 18

A pt with hypertension is taking fuersoidme [lasix] for congestive heart failure . the prescribed orders digoxin to help increase the cardiac output . what other medication will the nurse expect to be ordered for this patient

Answer 18

Spironolactone { aldactone]

Question 19

when assess a patient who is receiving a loop diuretic , the nurse looks for the manifestation of potassium deficany which would include what symptoms {sata ]

Answer 19

muscle weakness , anorexia , lethargy

Question 20

what nursing intervention would be performed for a patient who is on diuretic therapy

Answer 20

asucaltion of lung sounds ,. assessment of skin turgor , posting techniques , mooring intake and output

Question 21

a patient has 2+ pitting edema of the Lower eremites bilaterally , . auscualtion of the lungs revels crackles bilaterally , and the serum potassium level is 6 mEQ/L . which diuretic agent ordered by the prescriber should the nurse question

Answer 21

spironolactone [aldactone]

Question 22

which medical condition may be contributed to fluid volume excess

Answer 22

hypertension , liver disease pregnancy , use of corticosteroids steroids

Question 23

signs AND symptoms of dehydration may occur as a result of a diuretic (SATA)

Answer 23

skin remains peaked on turgor assessment , soft , sunken eyeballs

Question 24

mannitol [ osmitrol ] has been ordered for a patient with acute real failure . the nurse will administer this drug by doing which procedure

Answer 24

Intravenously , through. a filter

Question 25

which category of diuretic drugs exerts is mechanism of action in the collecting duct

Answer 25

potassium sparring diuretics

Question 26

Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?

Answer 26

“Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.”

Question 27

A patient who is taking digoxin is admitted to the hospital for treatment of congestive heart failure. The prescriber has ordered furosemide [Lasix]. The nurse notes an irregular heart rate of 86 beats/min, a respiratory rate of 22 breaths per minute, and a blood pressure of 130/82 mm Hg. The nurse auscultates crackles in both lungs. Which laboratory value causes the nurse the most concern?

Answer 27

Potassium level of a 3.5 mEQ/L

Question 28

which monrting a patient who has diabetes and is receiving a carbonic anhydrase inhibitor for edema , the nurse will monitor for which possible adverse effect

Answer 28

elevated blood glucose

Question 29

A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient’s daily routine?

Answer 29

in the morning

Question 30

On admission, a patient with a history of cardiac insufficiency complains of shortness of breath.
The nurse auscultates the lungs and notes bilateral crackles throughout both fields. In addition, there is bilateral +2 edema of the lower extremities. Which medication does the nurse anticipate that the health care provider will prescribe?

Answer 30

Fuersomide {lasix}

Question 31

patient I brought to the eR with SOB a respire ate if 30 breathes per minute , intercostal retractions , and frothy , ink septum . the nurse caring for this patient will expect ti administer which drug

Answer 31

furosemide [lasix]

Question 32

a nurse is preparing to administer morning medication notes that a patient with a history of hypertension has been prescribed spirnolactone [aldactone]. the nurse asses the patient and notes dispense , bilateral crackles , and pitting edema , which intervention Is appropriate

Answer 32

request an order for fueroside {lasix]

Question 33

which foods will the nurse recommend for a patient taking loop diuretics

Answer 33

potassium rich foods such as raising , fine and bananas

Question 34

the nurse will monitor a patient for S/S of hyperkalemia if the patient is taking which of these diuretics ?

Answer 34

spironolactone [ aldactone]

Question 35

which medication is a potassium sparing diuretic

Answer 35

Spironolactone [ aldactone]

Question 36

a patient who has heart failure and difficulty breathing is being admitted . which physical assent indicates fluid volume excess SATA

Answer 36

rapid , bounding , irregular pulse rate , 3 + pitting angle edema , neck vein engorgment , Shortness of breath

Question 37

which symptoms are indicators of digoxin toxicity (SATA)

Answer 37

blurred vison , nausea and vomtting , palpation

Question 38

when reviewing the mechanisms of actions of diuretics , the nurse knows that which statement is true about loop diuretics

Answer 38

they have a arpaid onset of action and cause rapid diuresis

Question 39

a patient started Gina diuretic for antihypertensive therapy . the nurse expects that a drug in which class is likely to be used initially

Answer 39

thiazide diuretics

Question 40

During diuretic therapy , the nurse monitors the fluid electrolyte status of the patient , which assessment findings are symptoms of hypoatrmia

Answer 40

lethargy , hypotension , stomach cramps

Question 41

which medication , if administer with spironolactone [ aldacone ] will alert the nurse to asses the patient for S/S of hyperkalmia

Answer 41

Captopril (capoten)

Question 42

when. a patient is receiving diuretic therapy , which of these assessment measures would best reflects the patient fluid volume status

Answer 42

intake , output , and daily weight

Question 43

individuals with which visored are particularly susceptible to the development of electrolyte disturbance during diuretic therapy

Answer 43

history of cardiac disease , history of renal disease , his of hormonal disorder , massive trauma ,serious burns

Question 44

when montioring a patient for signs of hypokalemia , the nurse looks for what early signs

Answer 44

muscle weakness

Question 45

which condition warrants the use of acetazoamide ( diamox ) as a diuretic

Answer 45

increased intraocular pressure

Question 46

which premedication assessment would the nurse obtain prior to the intern of bumetandien {bumex} SATA

Answer 46

serum potassium , lung sounds , orientation level . blood pressure

Question 47

the nurse would expect to assess which serum potassium level in. epithet who has severe vomiting and diarrhea

Answer 47

less than 3.5 mEQ/L

Question 48

which montirong a patient who is taking hydrochlorothiazide , the use notes that which drug is most likely ro cause a severe interaction with the diuretic

Answer 48

digitals

Question 49

how do thiazide - like diuretic reduce high blood pressure e

Answer 49

reducing blood volume and relaxing vascular smooth muscle

Question 50

The nurse is working with a graduate nurse to prepare an intravenous dose of potassium for a patient on a regular medical-surgical unit. Which statement by the graduate nurse reflects a need for further teaching?

Answer 50

The intravenous potassium dose will be given undiluted

Question 51

which health problem is a potential side effect or adverse reaction of any class diuretic drug

Answer 51

dehydration

Question 52

when reviewing the health history of a patient , the nurse will note that a potential contradiction to potassium supplements exist if the patient has which problem

Answer 52

renal disease

Question 53

which patient assessment would alert the nurse to withhold a diuretic

Answer 53

serum potassium of 2.6 mEq/L

Question 54

which precaution is most important for the LPN/Vn to teach a patient newly prescribed to take 10 mg of amiloride midamor orally daily

Answer 54

avoid the use of salt substitiutes

Question 55

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 . should the nurse report to the ordering health care provider

Answer 55

digoxin , prednisone , tobramycin

Question 56

a patient is taking gentamicin [ garamycin ] and fireside [ lasix ] . the nurse should console this patient to report which symptom

Answer 56

ringing in my ears

Question 57

what are the most common side effects of any drug used to manage hypertension

Answer 57

low blood pressure and an increased risk for falls

Question 58

the nurses is montirng a patient who is taking a potassium sparring diuretic , which of the drugs or drug classes may have an interaction with this type of diuretic SATA

Answer 58

lithium , potassium supplements , said , ace inhibitors

Question 59

a patient in the nerulogic intensive care unit is being treated for cerebral edema , which class of diruetic is used to reduce intracranial pressure

Answer 59

osmotic diuretics