Drugs That Affect Urine Output
Understanding Pharmacology Essentials for Medication Safety
Nursing
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Questions
For which complication does the nurse remain alert when a patient is taking any type of diuretic?
Explanation:
A patient who has been taking a diuretic for the past 2 weeks now experiences all of the following changes. Which change indicates to the nurse that the diuretic is effective?
Explanation:
A patient prescribed a once-daily diuretic calls the office to report that yesterdays drug dose was missed. What is the nurses best advice?
Explanation:
The nurse is teaching a patient about diuretic therapy. Which statement made by the patient indicates that more teaching is needed?
A patient taking a thiazide diuretic has the following blood laboratory values for kidney function. Which value does the nurse report to the prescriber immediately?
Why does the nurse teach a patient who is prescribed a thiazide diuretic to change positions slowly?
The nurse administers 20 mg of furosemide (Lasix) to a patient by the intravenous (IV) route. Which action is most important for the nurse to take?
Which side effect is associated only with loop diuretics?
Which diuretic may cause an adverse effect of a higher than normal serum potassium level?
A patient is prescribed spironolactone (Aldactone). Why does the nurse advise the patient to avoid the use of salt substitutes?
A patient who has been taking amiloride (Midamor) for the past 3 months reports that she must shave her legs more frequently. What is the nurses best action?
The nurse prepares to give a second dose of furosemide (Lasix) to a patient by intravenous (IV) push. Before the injection is started, the patient reports having chest pain ever since the last dose of the drug. What is the nurses best action?
A patient with overactive bladder has been prescribed tolterodine (Detrol). While assessing the patient, the nurse discovers the presence of the following health problems. Which problem causes the nurse to contact the prescriber and question the drug order?
A patient is prescribed an extended-release drug for overactive bladder. Which precaution is most important for the nurse to teach the patient?
A patient is prescribed a drug for overactive bladder. Which instruction does the nurse provide to prevent a serious complication?
Which laboratory value is always checked before giving a dose of furosemide (Lasix)?
What must the nurse teach a patient who is taking a diuretic drug?
What is the most common side effect of drugs used for benign prostate hypertrophy (BPH)?
An 82-year-old-man is prescribed a dihydrotestosterone (DHT) inhibitor to treat benign prostatic hypertrophy (BPH). Which health promotion activity is most important for the nurse to teach this patient?
A patient has received furosemide (Lasix), 40 mg orally, 30 minutes ago. To prevent injury to the patient, what does the nurse do?
A patient who is prescribed hydrochlorothiazide (HCTZ) informs the nurse that she plans to become pregnant. What does the nurse include in a care plan for the patient about this drug?
A patient taking tolterodine (Detrol) reports decreased urination, ankle swelling, and a weight gain of 5 pounds over the past 2 days. What does the nurse do next?
A patient taking tamsulosin (Flomax) asks the nurse how the drug works. What is the nurses best response?
Which test or examination does a patient receive before taking any drug for benign prostate hypertrophy (BPH)?
A patient taking finasteride (Proscar) informs the nurse that he is also taking the herbal supplement saw palmetto. What is the nurses best response?
[Sequencing] The nurse is teaching a patient about the patch form of a drug to treat overactive bladder. List the correct order in which the patient should perform the steps of drug administration. (Number 1 is the first step and number 7 is the last step.)
A. Examine the skin under the old patch for redness, irritation, or open areas.
B. Press the patch firmly and hold in place for at least 15 seconds.
C. Remove the old patch after it has been on for 3 to 4 days.
D. Remove the adhesive backing on the patch.
E. Carefully clean and dry the new site.
F. Apply the patch sticky side down.
G. Select a new site.
