100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 3463 Chapter 38: Diuretics McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition $15.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. NUR 3463
  4.  
  5. NUR 3463

Exam (elaborations)

NUR 3463 Chapter 38: Diuretics McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition

 0 purchase
  • Course
  • NUR 3463
  • Institution
  • NUR 3463

NUR 3463 Chapter 38: Diuretics McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition

Preview 1 out of 1  pages

Document information

  • June 3, 2022
  • 1
  • 2020/2021
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 3463
  • 10th edition
  • chapter 38 diuretics mccuistion pharmacology a patient centered nursing process approach

Written for

  • NUR 3463
All documents for this subject (9)

Seller

avatar-seller
YANCHY

Reviews received

Content preview

TEST
TEST BANK FORPHARMACOLOGY
BANK FOR PHARMACOLOGY10TH10TH EDITION
EDITION BY MCCUSTION
BY MCCUISTION

Chapter 38: Diuretics
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th
Edition


MULTIPLE CHOICE

1. The Clinical Officer is preparing to administer the first dose of hydrochlorothiazide
(HydroDIURIL) 50mg to a patient who has a blood pressure of 160/95 mm Hg. The Clinical
Officer notes that the patient had a urine output of 200 mL in the past 12 hours. The Clinical
Officer will perform which action?
a. Administer the medication as ordered.
b. Encourage the patient to drink more fluids.
c. Hold the medication and request an order for serum BUN (blood urea nitrogen)
and creatinine.
d. Request an order for serum electrolytes and administer the medication.

ANSWER: C
Thiazide diuretics are contraindicated in renal failure. This patient has oliguria and should be
evaluated for renal failure prior to administration of the diuretic—especially in the absence of
known renal failure for this patient. Drinking more fluids will not increase urine output in
patients with renal failure.

DIFFICULTY: CGNTVE Level: Applying (Application)
TOPIC: Nursing Process: Assessment/Nursing Intervention
MISC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

2. The Clinical Officer is preparing to administer doses of hydrochlorothiazide (HydroDIURIL)
N
and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred
vision.The Clinical Officer notes a heart rate of 60 beats per minute and a blood pressure of
140/78 mm Hg. Which action will the Clinical Officer take?
a. Administer the medications and request an order for serum electrolytes.
b. Give both medications and evaluate serum blood glucose frequently.
c. Hold the digoxin and notify the provider.
d. Hold the hydrochlorothiazide and notify the provider.

ANSWER: C
When thiazide diuretics are taken with digoxin, patients are at risk of digoxin toxicity because
thiazides can cause hypokalemia. The patient has bradycardia and blurred vision, which are
both signs of digoxin toxicity. The Clinical Officer should hold the digoxin and notify the
provider.
Serum electrolytes may be ordered, but the digoxin should not be given.

DIFFICULTY: CGNTVE Level: Applying (Application)
TOPIC: Nursing Process: Nursing
Intervention/Evaluation MISC: NCLEX: Physiological
Integrity: Pathophysiology

3. The Clinical Officer is teaching a patient about taking hydrochlorothiazide. Which
statement by the patient indicates a need for further teaching?
a. “I may need extra sodium and calcium while taking this drug.”
b. “I should eat plenty of fruits and vegetables while taking this medication.”
c. “I should take care when rising from a bed or chair when I’m starting this
medication.”

TESTBANKWORLD.ORG

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller YANCHY. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$15.99
  • (0)
Add to cart
Added