Urinary System

Question 1

Loop Diuretic Examples

Answer 1

Furosemide

Bumetanide

Question 2

Thiazide Diuretic Examples

Answer 2

Hydrochlorothiazide

Chlorothiazide

Question 3

Potassium Sparing Diuretic Examples

Answer 3

Spironolactone

Triamterene

Question 4

Diuretics Indications

Answer 4

pulmonary edema caused by heart failure
edema
hypertension

Question 5

Diuretics Precautions

Answer 5

use cautiously in clients who have diabetes mellitus
contraindicated in pregnancy
NSAIDs reduce diuretic effect

Question 6

Loop Diuretic Complications

Answer 6

Hypovolemia
Ototoxicity
Hypokalemia
Hyponatremia
Hyperglycemia
Digoxin toxicity
Lithium toxicity

Question 7

Thiazide Diuretics Complications

Answer 7

Hypovolemia
Hypokalemia
Hyponatremia
Hyperglycemia
Digoxin Toxicity
Lithium Toxicity

Question 8

Potassium Sparing Diuretics Complications

Answer 8

Hyperkalemia
Endocrine effects (impotence, menstrual irregularities)

Question 9

Diuretics Administration

Answer 9

monitor I/Os, fluid and electrolyte status
monitor vital signs
administer in the morning
loop/thiazide diuretics increase foods high in potassium
potassium sparing diuretics avoid foods high in potassium including salt substitutes

Question 10

Mannitol Classification

Answer 10

Osmotic Diuretics

Question 11

Mannitol Indications

Answer 11

prevent renal failure related to hypovolemia
decrease intracranial pressure related to cerebral edema
decrease intraocular pressure

Question 12

Mannitol Precautions

Answer 12

use caution in heart failure

Question 13

Mannitol Complications

Answer 13

pulmonary edema
fluid and electrolyte imbalances
thirst/dry mouth

Question 14

Mannitol Administration

Answer 14

monitor daily weight, I/Os, electrolytes
monitor for signs of hypovolemia
monitor neurological status

Question 15

Alpha Adrenergic Blockers for Urinary Hesitancy Examples

Answer 15

Tamsulosin

Bethanechol

Question 16

Anticholinergic Medications for Overactive Bladder Examples

Answer 16

Oxybutynin
Tolterodine
Darifenacin
Solifenacin
Trospium
Fesoterodine

Question 17

Anticholinergic Medications for Overactive Bladder Indications

Answer 17

urinary incontinence

urinary urgency/frequency

Question 18

Anticholinergic Medications for Overactive Bladder Precautions

Answer 18

do not use for clients with intestinal obstruction
use with other anticholinergics can increase anticholinergic effects
risk for cognitive impairment in older clients

Question 19

Anticholinergic Medications for Overactive Bladder Complications

Answer 19

anticholinergic symptoms
drowsiness
dyspepsia

Question 20

Anticholinergic Medications for Overactive Bladder Administration

Answer 20

management of anticholinergic side effects

report constipation lasting longer than 3 days

Question 21

Sexual Dysfunction Medication Examples

Answer 21

sildenafil
tadalafil
vardenafil

Question 22

Sexual Dysfunction Medications Indications

Answer 22

erectile dysfunction

Question 23

Sexual Dysfunction Medications Precautions

Answer 23

contraindicated for clients taking nitrates, alpha blockers for BPH, antihypertensives

Question 24

Sexual Dysfunction Medications Complications

Answer 24

hypotension
priapism (erection lasting longer than 4hrs)
vision impairment
hearing loss
headache
flushing

Question 25

Sexual Dysfunction Medications Interventions

Answer 25

administer 1 hr before sexual activity
do not use more than once daily
notify provider of all medications including herbal preparations
instruct client to avoid intake of organic nitrates
instruct client to stop taking medication and notify prescriber immediately for erection lasting longer than 4 hr or any loss of vision