Which are indications for the use of diuretics?
(Select all that apply)
A. To increase urine output
B. To reduce uric acid levels
C. To treat hypertension
D. To treat open-angle glaucoma
E. To treat edema associated with heart failure
A. To increase urine output
C. To treat hypertension
D. To treat open-angle glaucoma
E. To treat edema associated with heart failure
When providing patient teaching to a patient who is taking a potassium-sparing diuretic such as spironolactone (Aldactone), the nurse will include which dietary guidelines?
A. There are no dietary restrictions with this medication
B. The patient needs to
C. The patient needs to avoid excessive intake of foods high in potassium
When teaching a patient about diuretic therapy, which would the nurse indicate as the best time of day to take these medications?
A. Morning
B. Midday
C. Bedtime
D. The time of day does not matter
A. Morning
When monitoring a patient with hypokalemia r/t diuretic use, the nurse looks for which possible symptoms?
A. Nausea, vomiting, and anorexia
B. Diarrhea and abdominal pain
C. Orthostatic hypotension
D. Muscle weakness and lethargy
D. Muscle weakness and lethargy
Which diuretic remains effective when creatinine clearance drops below 25mL/min?
A. Loop
B. Thiazide
C. Osmotic
D. Potassium sparing
B. Thiazide
The greatest volume of diuresis is produced by which class of diuretics?
A. Loop
B. Thiazide
C. Osmotic
D. Potassium sparing
A. Loop
A patient has a new order for for daily doses of spironolactone (Aldactone). Which condition, if present, may be contraindicated to this drug therapy? (Select all that apply)
A. Heart failure
B. Renal failure
C. Diabetes mellitus
D. DVT
E. Hyperkalemia
B. Renal failure
E. Hyperkalemia
A general term for drugs that accelerate the rate of urine formation
Diuretic
Diuretics that result in the diuresis of sodium and water retention of potassium; spironolactone is an example
Potassium-Sparing diuretics
Part of the kidneys structure located between the proximal and distal convoluted tubules
Loop of Henle
Drugs that induce diuresis by increasing the osmotic pressure of the glomerular filtrate, which results in rapid diuresis; mannitol is an example
Osmotic Diuretics
Diuretics that act on the distal convoluted tubule, where they inhibit sodium and water resorption; hydrochlorothiazide (HCTZ) is an example
Thiazides
An abnormal intraperitoneal accumulation of fluid
Ascites
Potent diuretics that act along the ascending limb of the loop of Henle; furosemide is an example
Loop Diuretics
The main structural unit of the kidney
Nephron