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WorksheetsAbrams Chapter 34
Total questions: 20
Worksheet time: 10mins
Grace is about to be prescribed hydrochlorothiazide for her hypertension. What assessment should be performed prior to administering this medication?
Pulse rate
Hemoglobin level
Sulfonamide allergy
Neutrophil level
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?
Reabsorbs potassium in the distal tubule
Ineffective when immediate diuresis is needed
Provides peak effects in 2 hours
Excreted in more than 72 hours
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?
Loop diuretic
Potassium-sparing diuretic
Thiazide diuretic
Osmotic diuretic
Aria has been prescribed a combination diuretic product by her doctor. What is the purpose of using this type of medication?
Prevent sodium imbalance
Less expensive
Prevent potassium imbalance
Prevent allergic reactions
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?
They have different mechanisms of action.
They are less expensive together.
They are always more effective.
They have fewer side effects.
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?
Hydrochlorothiazide
Furosemide
Spironolactone
Mannitol
Zoe is prescribed both digoxin and furosemide for her heart condition. What is the risk of combining these two medications?
Hyperkalemia
Hyperglycemia
Tachycardia
Digoxin toxicity
Emma is taking digoxin and potassium supplements as part of her treatment plan. What is the target potassium range for her?
1.5–3.0 mEq/L
3.5–5.0 mEq/L
5.0–7.5 mEq/L
6.0–6.5 mEq/L
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. Decreased blood pressure
B. Decreased diuresis
C. Hyperkalemia
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?
Lose less potassium
Greater potassium loss
Greater water loss
Greater sodium loss
Aria, an older adult patient, has been started on IV furosemide in the hospital. Which functions should be prioritized for assessment in her case?
Cardiac function
Cognitive function
Respiratory function
Renal function
Hepatic function
Evelyn is a client with liver failure who has been prescribed spironolactone. What adverse effect should be monitored in her case?
Peritonitis
Liver cancer
Cirrhosis
Hepatic encephalopathy
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?
Ureters
Proximal tubule
Efferent arteriole
Afferent arteriole
Harper is a patient who has been prescribed furosemide for fluid overload. What is the best way to assess Harper's fluid loss?
Skin turgor
Urine osmolarity
Daily weight
Chest auscultation
Emma has been prescribed furosemide to help manage her hypertension. During her follow-up visit, what teaching goal should be prioritized for Emma?
Limit sodium intake
Increase fluid intake
Monitor blood glucose
Understand renal anatomy
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?
hyponatremia
hypokalemia
fluid volume deficit
ototoxicity
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?
hypocalcemia
hypercalcemia
hyperglycemia
hypernatremia
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?
thiazide
loop
osmotic
potassium therapy
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.)
“I should not eat foods high in potassium while taking this medication.”
“I should use a salt substitute instead of regular salt.”
“I should call my nurse practitioner if I have any significant adverse effects from my medications.”
“I should not take large amounts of potassium chloride supplements.”
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?
loop
thiazide
potassium-sparing
osmotic
