WorksheetsPharm diuretics antihyperlipidemics antihypertensives
Total questions: 20
Worksheet time: 16mins
A geriatric patient with a history of kidney disease develops increasing bilateral edema in the legs and feet. The health care provider has ordered a potassium-sparing diuretic. Select the diurectic action of this medication.
The medication should increase reabsorption of sodium and potassium.
The medication should decrease sodium transport and increase potassium.
The medication should excrete water and sodium but save potassium.
The medication should excrete potassium and save water and sodium.
When administering loop diuretic, what electrolyte replacement should be supplemented?
Vitamins
Minerals
Calcium
Potassium
Which medication is a potassium-sparing diuretic?
acetazolamide
spironolactone
furosemide
bumetanide
The nurse has provided patient teaching about potassium-sparing diuretic therapy. Which statement by the patient indicates a need for further teaching?
“I will take my medication in the morning.”
“I will report a weight gain of 2 pounds in 2 days.”
“I will rise slowly when I get up from a sitting position.”
“I will use a salt substitute because I limit my salt intake.”
Which patient assessment would alert the nurse to withhold a loop diuretic?
Crackles in the lung bases
+2 pitting peripheral edema
Serum potassium of 2.6 mEq/L
Weight gain of 2 pounds in 2 days
In homeostasis, the kidney regulates the _______
levels of electrolytes
amount of water in the body
pH
all of the above
Urine leaves the kidneys through the _____________ to be stored before urination.
ureters
bladder
urethra
nephron
_______ is an example of Loop Diuretics.
chlorthiazide
furosemide
amiloride
mannitol
Choose the major clinical uses of diuretics . Select all that apply
Edema
Hypertension
Inflammation
Polyuria
A client is taking the drug furosemide. The nurse should educate the client regarding increasing dietary intake of potassium. Which food is high in potassium? SELECT ALL THAT APPLY
avacado
peaches
kale
potatoes
cantaloupe
When should the nurse instruct the client to take bumetanide 1 mg PO daily?
0700
1000
1200
1600
What is the most common adverse reaction associated with the use of diuretics? SELECT ALL THAT APPLY
fluid imbalance, specifically fluid overload
fluid imbalance, specifically fluid deficit
electrolyte imbalance, specifically K+
elevated blood pressure
Which sign/symptom would a client exhibit to make the nurse concerned about dehydration from diuretic use?
numbness/tingling in the face or lips
polyuria
dry mucous membranes
weight gain, more than 2 lb in 24 hr
Which medication has an adverse effect of gynecomastia?
furosemide
metoprolol
spironolactone
atorvastatin
A client is being evaluated for hypercholesterolemia with serum cholesterol level of 242. The nurse should anticipate the HCP prescribing which medication?
guaifenesin
levalbuterol
simvastatin
diltiazem
The nurse is preparing to administer a fibric acid derivative- gemfibrozil to a client. What would the reason this client is being prescribed this medication?
acute myocardial infarction
hypertension
hyperlipidemia
blood clotting disorder
What might the healthcare provider prescribe to prevent the skin reaction related to niacin?
avoiding sun exposure
administering aspirin 30 min to 1 hr prior to nicacin
taking niacin in the evening
taking an antihistamine at the same time to prevent the allergic response
The nurse is providing education to a client who is taking atorvastin. What time of day should the nurse educate the client to take this medication?
in the evening or bedtime
with the mid-day meal
early in the morning
any time of day- it doesn't matter
Which drug is an antihypertensive? SELECT ALL THAT APPLY
diltiazem
clonidine
metoprolol
carvedilol
lisinopril
Which of the following is a modifiable risk factor for hypertension? SELECT ALL THAT APPLY
age
obesity
chronic alcohol consumption
sedentary lifestyle
high dietary salt intake
