Week 14 Flashcards
The nurse or midwife would anticipate an order for a loop diuretic as the drug of choice for a person with:
a. Hypertension
b. Shock
c. Pulmonary oedema
d. Fluid retention of pregnancy
c. Pulmonary oedema
The nurse is teaching a group of clients with cardiac conditions who are taking diuretic therapy. The nurse explains that individuals prescribed frusemide should:
a. Avoid consuming large amounts of cabbage, cauliflower, and kale.
b. Rise slowly from sitting or lying position
c. Count their pulse for 1 full minute before taking the medication
d. Restrict fluid intake to no more than 1000mL in a 24 hour period.
b. Rise slowly from sitting or lying position
A person with severe glaucoma who is about to undergo eye surgery would benefit from a decrease in intraocular fluid. This is often best accomplished by giving the person
a. A loop diuretic
b. A thiazide diuretic
c. A carbonic anhydrase inhibitor
d. An osmotic diuretic
d. An osmotic diuretic
Clients prescribed spironolactone are often at risk for electrolyte imbalance. The nurse assesses for this adverse effect because this drug may cause the body to:
a. Retain potassium
b. Release magnesium
c. Excrete potassium
d. Bind calcium
a. Retain potassium
Routine Care of a person receiving a diuretic would include which of the following?
a. Daily weighing
b. Tight fluid restrictions
c. Periodic electrolyte evaluations
d. Monitoring of urinary output
e. Regular intraocular pressure testing
f. Teaching the person to report muscle cramping
a. Daily weighing
b. Tight fluid restrictions
c. Periodic electrolyte evaluations
d. Monitoring of urinary output
f. Teaching the person to report muscle cramping
Combination oestrogens and progestins are commonly used as oral contraceptives. It is thought that this combination has its effect by:
a. Acting to block the release of FSH and LH, preventing follicle development
b. Directly suppressing the ovaries and preventing ovulation
c. Keeping the endometrium constantly lush and blood filled
d. Preventing menstruation, which prevents pregnancy
a. Acting to block the release of FSH and LH, preventing follicle development
Oxytocin, a synthetic form of the hypothalamic hormone, is used to:
a. Induce labour by stimulating uterine contraction
b. Stimulate milk production in the lactating woman
c. Increase fertility and the chance of conception
d. Relax the gravid uterus to prevent preterm labour
a. Induce labour by stimulating uterine contraction
b. Stimulate milk production in the lactating woman
Testosterone is approved for use in:
a. Treatment of breast cancers
b. Increasing muscle strength in athletes
c. Oral contraceptives
d. Increasing hair distribution in male pattern baldness
a. Treatment of breast cancers
List the symptoms of the following fluid and electrolyte imbalances;
Hypovolaemia –
hypotension, weak pulse, tachycardia, clammy skin, rapid resps, reduced urinary output
List the symptoms of the following fluid and electrolyte imbalances;
Hyponatraemia –
low sodium concentration, lethargy, disorientation, muscle tenseness, seizures and coma
List the symptoms of the following fluid and electrolyte imbalances;
Hypokalaemia –
low potassium concentration – weakness, abnormal ECG, postural hypotension and flaccid paralysis
List the symptoms of the following fluid and electrolyte imbalances;
Hypocalcaemia –
low calcium concentration – irritability, vomiting, diarrhoea, twitching, hyperactive reflexes, cardiac dysrhythmias, tetany and seizures
List the symptoms of the following fluid and electrolyte imbalances;
Hypochloraemia –
low chloride concentration –
List the symptoms of the following fluid and electrolyte imbalances;
Hypomagnesaemia –
low magnesium concentration - nausea and vomiting, lethargy, muscle weakness, tremors and tetany
List the symptoms of the following fluid and electrolyte imbalances;
Hyperkalaemia –
nausea, diarrhoea, muscle weakness, postural hypotension, ECG changes