Pharmacology And the Nursing Process, 8th Edition by Linda Lane Lilley
Pharmacology And the Nursing Process, 8th Edition by Linda Lane Lilley
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Chapter 28: Diuretic Drugs
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Metabolic alkalosis |
| b. | Elevated blood glucose |
| c. | Hyperkalemia |
| d. | Mental alertness |
ANS: B
An undesirable effect of carbonic anhydrase inhibitors is that they elevate the blood glucose level and cause glycosuria in diabetic patients. They induce metabolic acidosis, making their usefulness limited. In addition, hypokalemia and drowsiness may occur.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 453
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | Hydrochlorothiazide (HydroDIURIL) |
| b. | Furosemide (Lasix) |
| c. | Acetazolamide (Diamox) |
| d. | Spironolactone (Aldactone) |
ANS: D
Spironolactone (Aldactone) is a potassium-sparing diuretic, and patients taking this drug must be monitored for signs of hyperkalemia. The other drugs do not cause hyperkalemia but instead cause hypokalemia.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 457
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | Intravenously, through a filter |
| b. | By rapid intravenous bolus |
| c. | By mouth in a single morning dose |
| d. | Through a gravity intravenous drip with standard tubing |
ANS: A
Mannitol is administered via intravenous infusion through a filter because of possible crystallization. It is not available in oral form. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 456
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | “Take this medication in the evening.” |
| b. | “Avoid foods high in potassium, such as bananas, oranges, fresh vegetables, and dates.” |
| c. | “If you experience weight gain, such as 5 pounds or more per week, be sure to tell your physician during your next routine visit.” |
| d. | “Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.” |
ANS: D
Orthostatic hypotension is a possible problem with diuretic therapy. Foods high in potassium should be eaten more often, and the drug needs to be taken in the morning so that the diuretic effects do not interfere with sleep. A weight gain of 5 pounds or more per week must be reported immediately.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 459
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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