Chapter 51  Diuretic Agents

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Chapter 51  Diuretic Agents

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. The class of diuretics that act to block the chloride pump in the distal convoluted tubules and leads to a
loss of sodium and potassium and a minor loss of water is what?

A) Carbonic anhydrase inhibitors

B) Osmotic diuretics

C) Potassium-sparing diuretics

D) Thiazide diuretics

Ans: D

Feedback:

Thiazide diuretics work to block the chloride pump, which leads to a loss of sodium, potassium, and
some water. They are considered mild diuretics. Carbonic anhydrase inhibitors work to block the
formation of carbonic acid and bicarbonate in the renal tubules. Osmotic diuretics use hypertonic pull to
remove fluid from the intravascular spaces and to deliver large amounts of water into the renal tubules.
Potassium-sparing diuretics are mild and act to spare potassium in exchange for the loss of sodium and
water.

2. The nurse is providing discharge instructions to a 72-year-old patient who has been discharged home on
a diuretic. What would the patient’s instructions regarding the use of a diuretic at home include?

A) Measuring intake and output of urine

B) To weigh themselves on the same scale, at the same time of day, in the same clothing

C) Restrict fluids to 500 mL/d to limit the need to urinate

D) Decrease exercise to conserve energy

Ans: B

Feedback:

Patients taking a diuretic at home need to learn to weigh themselves every day, at the same time, and in
the same clothes to monitor for loss or retention of fluid. They should not be asked to measure urine
output or to decrease activity. Restricting fluids can lead to a rebound fluid retention when
compensatory mechanisms are activated.

 

Test Bank – Focus on Nursing Pharmacology (7th Edition by Amy Karch) 832

3. The emergency department (ED) nurse is caring for a patient who is experiencing pulmonary edema.
The patient is treated with furosemide (Lasix). What will the nurse monitor?

A) Sodium levels

B) Bone narrow function

C) Calcium levels

D) Potassium levels

Ans: D

Feedback:

Furosemide is associated with loss of potassium, so that the patient will need to be monitored carefully
for low potassium levels, which could cause cardiac arrhythmias and further aggravate pulmonary
edema. The nurse would not monitor sodium or calcium levels or bone marrow function because of the
effects of the drug during the acute treatment of pulmonary edema.

4. The nurse on the coronary unit is caring for a patient with known coronary artery disease who is being
treated with cholestyramine (Questran) and hydrochlorothiazide (HydroDIURIL). What action will the
nurse take?

A) Call the physician and refuse to give the drugs without further orders.

B) Make sure that the drugs are given at least 2 hours apart.

C) Give the patient an antacid with the drugs.

D) Check the patient’s blood glucose level before giving the drugs.

Ans: B

Feedback:

Because of its effects in the GI tract, cholestyramine should be taken at least 2 hours earlier or later
than hydrochlorothiazide to ensure the absorption of hydrochlorothiazide. This combination of drugs
can be used effectively. An antacid would further aggravate drug absorption and would not be
recommended. Blood glucose levels would not be affected by either of these drugs.

5. The pharmacology instructor is discussing diuretic drugs with the nursing class. What would the
instructor cite as an adverse effect of loop diuretics?

A) Hyperkalemia

B) Alkalosis

C) Hypertension

D) Hypercalcemia

Ans: B

Feedback:

Alkalosis is a drop in serum pH to an alkaline state due to bicarbonate loss in urine. Hypokalemia,
hypocalcemia, and hypotension are also adverse effect of these drugs. Therefore, the other options are
not correct.

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