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Abrams Chapter 34

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Grace is about to be prescribed hydrochlorothiazide for her hypertension. What assessment should be performed prior to administering this medication?

a)

Pulse rate

b)

Hemoglobin level

c)

Sulfonamide allergy

d)

Neutrophil level

2.

David is admitted to the hospital with severe fluid overload and needs rapid reduction of excess fluid. Why might a stronger diuretic be given instead of a thiazide for immediate diuresis?

a)

Reabsorbs potassium in the distal tubule

b)

Ineffective when immediate diuresis is needed

c)

Provides peak effects in 2 hours

d)

Excreted in more than 72 hours

3.

Harper is a doctor treating a patient with increased intracranial pressure after a head injury. Which diuretic should Harper use to reduce the intracranial pressure?

a)

Loop diuretic

b)

Potassium-sparing diuretic

c)

Thiazide diuretic

d)

Osmotic diuretic

4.

Aria has been prescribed a combination diuretic product by her doctor. What is the purpose of using this type of medication?

a)

Prevent sodium imbalance

b)

Less expensive

c)

Prevent potassium imbalance

d)

Prevent allergic reactions

5.

5. Nora is being treated for high blood pressure, and her doctor is considering using two different diuretics instead of a fixed-dose combination. Why might the doctor choose this approach?

a)

They have different mechanisms of action.

b)

They are less expensive together.

c)

They are always more effective.

d)

They have fewer side effects.

6.

James arrives at the emergency department with severe shortness of breath. On examination, you hear crackles in his lungs, and he is diagnosed with pulmonary edema. Which diuretic is most appropriate for his condition?

a)

Hydrochlorothiazide

b)

Furosemide

c)

Spironolactone

d)

Mannitol

7.

Zoe is prescribed both digoxin and furosemide for her heart condition. What is the risk of combining these two medications?

a)

Hyperkalemia

b)

Hyperglycemia

c)

Tachycardia

d)

Digoxin toxicity

8.

Emma is taking digoxin and potassium supplements as part of her treatment plan. What is the target potassium range for her?

a)

1.5–3.0 mEq/L

b)

3.5–5.0 mEq/L

c)

5.0–7.5 mEq/L

d)

6.0–6.5 mEq/L

9.

Priya has been prescribed furosemide for fluid retention, but she continues to eat a diet high in sodium. What effect does this have on the efficacy of her medication?

a)

A. Decreased blood pressure

b)

B. Decreased diuresis

c)

C. Hyperkalemia

10.

Aria has been taking furosemide for her condition, but her doctor decides to switch her prescription to spironolactone. Why might the doctor make this change?

a)

Lose less potassium

b)

Greater potassium loss

c)

Greater water loss

d)

Greater sodium loss

11.

Aria, an older adult patient, has been started on IV furosemide in the hospital. Which functions should be prioritized for assessment in her case?

a)

Cardiac function

b)

Cognitive function

c)

Respiratory function

d)

Renal function

e)

Hepatic function

12.

Evelyn is a client with liver failure who has been prescribed spironolactone. What adverse effect should be monitored in her case?

a)

Peritonitis

b)

Liver cancer

c)

Cirrhosis

d)

Hepatic encephalopathy

13.

During a biology lab, Harper is studying how the kidneys filter blood. She wants to know where the majority of reabsorption takes place in the nephron. Where should she focus her observations?

a)

Ureters

b)

Proximal tubule

c)

Efferent arteriole

d)

Afferent arteriole

14.

Harper is a patient who has been prescribed furosemide for fluid overload. What is the best way to assess Harper's fluid loss?

a)

Skin turgor

b)

Urine osmolarity

c)

Daily weight

d)

Chest auscultation

15.

Emma has been prescribed furosemide to help manage her hypertension. During her follow-up visit, what teaching goal should be prioritized for Emma?

a)

Limit sodium intake

b)

Increase fluid intake

c)

Monitor blood glucose

d)

Understand renal anatomy

16.

Charlotte, a patient with severe heart failure, is admitted to the hospital and receives intravenous (IV) furosemide 80 mg for her symptoms. The nurse knows that administering the drug slowly by IV push reduces the likelihood of which of the following adverse effects of drug therapy?

a)

hyponatremia

b)

hypokalemia

c)

fluid volume deficit

d)

ototoxicity

17.

Abigail, who is being treated with an oral hypoglycemic for her type 2 diabetes, is prescribed hydrochlorothiazide. The nurse should monitor for which of the following serum laboratory changes?

a)

hypocalcemia

b)

hypercalcemia

c)

hyperglycemia

d)

hypernatremia

18.

A 53-year-old patient who has had hypertension for 10 years admits to nonadherence with the prescribed antihypertensive therapy. Recently, the patient has begun to experience shortness of breath and ankle swelling. A workup reveals the presence of chronic abnormal kidney function. What classification of diuretic is the first drug of choice for the nurse practitioner to prescribe?

a)

thiazide

b)

loop

c)

osmotic

d)

potassium therapy

19.

Evelyn, who has recently been prescribed spironolactone (Aldactone), is meeting with her nurse for dietary counseling. After the session, the nurse asks Evelyn to repeat what she has learned. Which of the following statements made by Evelyn indicates that teaching has been successful? (Select all that apply.)

a)

“I should not eat foods high in potassium while taking this medication.”

b)

“I should use a salt substitute instead of regular salt.”

c)

“I should call my nurse practitioner if I have any significant adverse effects from my medications.”

d)

“I should not take large amounts of potassium chloride supplements.”

20.

Lily, a patient, reports a drug allergy to sulfonamides. The healthcare provider orders a diuretic for her. Which diuretic drug class should the nurse question before administering to Lily?

a)

loop

b)

thiazide

c)

potassium-sparing

d)

osmotic