olympics 6 Flashcards
what would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic
increased blood sugar levels
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
oral administration of sodium chloride tablets
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.)
Chest pain, Irregular heart rate, Swollen ankles
the nurse has provided patient teaching about potassium sparing diuretic therapy . which statement by the patient indicated a need for further teaching
I will use a salt substrate because I limit my salt intake
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
within 10 minutes
the nurse is preparing to give a potassium supplest . which laboratory test should be checked before the patient receives a dose of potassium
serum potassium levels
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?
“I need to stop taking potassium supplements.”
besides having a diuretic effects for patients with congestive heart failure , thiazides are also used to treat what
diabetes insipidus , hepatic failure , post menopausal osteoporosis
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
reduce intracranial pressure
when teaching a patient who is taking thiazide diuretics , the nurse will encourage the patient to increase the intake of which electrolyte
potassium
common sign and symptoms of dehydration
furrowed tongue , decreased intake and output levels , mental confusion
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
serum sodium level 115 mEQ/L
s
s
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
gently pinch the skin together over the sternum
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
high blood glucose levels , low blood potassium levels , low blood sodium levels
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?
He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
which stamen made by a patient taking a loop diuretic indicated the need for more teaching
when I travel by car , I always skip my diuretic that day
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
Spironolactone { aldactone]
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 ]
muscle weakness , anorexia , lethargy
what nursing intervention would be performed for a patient who is on diuretic therapy
asucaltion of lung sounds ,. assessment of skin turgor , posting techniques , mooring intake and output
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
spironolactone [aldactone]
which medical condition may be contributed to fluid volume excess
hypertension , liver disease pregnancy , use of corticosteroids steroids
signs AND symptoms of dehydration may occur as a result of a diuretic (SATA)
skin remains peaked on turgor assessment , soft , sunken eyeballs
mannitol [ osmitrol ] has been ordered for a patient with acute real failure . the nurse will administer this drug by doing which procedure
Intravenously , through. a filter
which category of diuretic drugs exerts is mechanism of action in the collecting duct
potassium sparring diuretics
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?
“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.”
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?
Potassium level of a 3.5 mEQ/L
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
elevated blood glucose
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?
in the morning
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?
Fuersomide {lasix}
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
furosemide [lasix]
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
request an order for fueroside {lasix]
which foods will the nurse recommend for a patient taking loop diuretics
potassium rich foods such as raising , fine and bananas
the nurse will monitor a patient for S/S of hyperkalemia if the patient is taking which of these diuretics ?
spironolactone [ aldactone]
which medication is a potassium sparing diuretic
Spironolactone [ aldactone]
a patient who has heart failure and difficulty breathing is being admitted . which physical assent indicates fluid volume excess SATA
rapid , bounding , irregular pulse rate , 3 + pitting angle edema , neck vein engorgment , Shortness of breath
which symptoms are indicators of digoxin toxicity (SATA)
blurred vison , nausea and vomtting , palpation
when reviewing the mechanisms of actions of diuretics , the nurse knows that which statement is true about loop diuretics
they have a arpaid onset of action and cause rapid diuresis
a patient started Gina diuretic for antihypertensive therapy . the nurse expects that a drug in which class is likely to be used initially
thiazide diuretics
During diuretic therapy , the nurse monitors the fluid electrolyte status of the patient , which assessment findings are symptoms of hypoatrmia
lethargy , hypotension , stomach cramps
which medication , if administer with spironolactone [ aldacone ] will alert the nurse to asses the patient for S/S of hyperkalmia
Captopril (capoten)
when. a patient is receiving diuretic therapy , which of these assessment measures would best reflects the patient fluid volume status
intake , output , and daily weight
individuals with which visored are particularly susceptible to the development of electrolyte disturbance during diuretic therapy
history of cardiac disease , history of renal disease , his of hormonal disorder , massive trauma ,serious burns
when montioring a patient for signs of hypokalemia , the nurse looks for what early signs
muscle weakness
which condition warrants the use of acetazoamide ( diamox ) as a diuretic
increased intraocular pressure
which premedication assessment would the nurse obtain prior to the intern of bumetandien {bumex} SATA
serum potassium , lung sounds , orientation level . blood pressure
the nurse would expect to assess which serum potassium level in. epithet who has severe vomiting and diarrhea
less than 3.5 mEQ/L
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
digitals
how do thiazide - like diuretic reduce high blood pressure e
reducing blood volume and relaxing vascular smooth muscle
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?
The intravenous potassium dose will be given undiluted
which health problem is a potential side effect or adverse reaction of any class diuretic drug
dehydration
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
renal disease
which patient assessment would alert the nurse to withhold a diuretic
serum potassium of 2.6 mEq/L
which precaution is most important for the LPN/Vn to teach a patient newly prescribed to take 10 mg of amiloride midamor orally daily
avoid the use of salt substitiutes
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
digoxin , prednisone , tobramycin
a patient is taking gentamicin [ garamycin ] and fireside [ lasix ] . the nurse should console this patient to report which symptom
ringing in my ears
what are the most common side effects of any drug used to manage hypertension
low blood pressure and an increased risk for falls
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
lithium , potassium supplements , said , ace inhibitors
a patient in the nerulogic intensive care unit is being treated for cerebral edema , which class of diruetic is used to reduce intracranial pressure
osmotic diuretics
