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NURS 6200 Exam 2 Questions with Correct Answers
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NURS 6200 Exam 2 Questions with Correct Answers
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NURS 6200 Exam 2 Questions with Correct Answerswhat is the purpose of diuretics? Correct Answer ✓✓ -lower blood
pressure
-decrease edema
what is an increase in urine flow from a diuretic directly related to?
Correct Answer ✓✓ the amount of Na+ and Cl- reabsorption that the
diuretic blocks
diuretics produce increased urine output by inhibiting sodium and water
reabsorption from the ___ Correct Answer ✓✓ kidney tubules
what statement about aldosterone would the nurse identify as being true?
Correct Answer ✓✓ -it is a mineralocorticoid hormone
-it promotes sodium retention and potassium excretion by the kidneys
what types of diuretics are potassium-wasting? Correct Answer ✓✓ -
thiazide and thiazide like
-loop or high ceiling
-osmotic
-carbonic anhydrase inhibitor
what are the names of the different thiazide & thiazide-like diuretics?
Correct Answer ✓✓ -chlorothiazide (Diuril)
,-hydrochlorothiazide (HCTZ)**
-bendroflumethiazide with nadolol (Corzide)
-methyclothiazide (Enduron)
-chlorthialdone (Thalitone)
-indapamide (Lozol)
-metolazone (zaroxolyn)**
what are adverse serum chemistry abnormalities of thiazide and thiazide
like diuretics? Correct Answer ✓✓ -hypokalemia **
-hypomagnesemia
-hypercalemia
-hypochloremia
-hyperuricemia
-hyperglycemia
-hyperlipidemia
what are potential side effects and adverse reactions of thiazide and
thiazide-like diuretics? Correct Answer ✓✓ -electrolyte imbalances*
-hyperglycemia
-hyperuricemia
-dizziness
-headache
-nausea and vomiting
-constipation
,-urticaria
-blood dycrasias (blood imbalance)
what are contraindications of thiazide and thiazide like diuretics?
Correct Answer ✓✓ renal failure
describe the drug hydrochlorothiazide (HTCZ) Correct Answer ✓✓ -
uses: to treat hypertension or edema
-therapeutic effects: to increase urine output to treat hypertension, edema
from HF, hepatic cirrhosis, or renal dysfunction
-side effects: dizziness, vertigo, weakness
-adverse reactions: severe dehydration, hypotension
what are the names of the different loop diuretics? Correct Answer ✓✓ -
furosemide (Lasix) *
-ethacrynic acid (Edecrin)
-bumetanide (Bumex)
what are some potential lab changes associated with loop diuretics?
Correct Answer ✓✓ -hypokalemia**, hyponatremia, hypocalcemia,
hypomagnesemia, hypochloremia, hyperuricemia
-hyperglycemia possible in diabetic patients
-elevated blood urea nitrogen and creatinine
-elevated lipids
-thrombocytopenia, leukopenia
, a patient is receiving furosemide (Lasix), it is most important for the
nurse to monitor the pt. for the development of ___ Correct Answer ✓✓
hypokalemia
-this is the most common electrolyte imbalance associated with Lasix
what are some common side effects and adverse reactions to loop
diuretics? Correct Answer ✓✓ -fluid and electrolyte imbalances**
-orthostatic hypotension**
-hypochloremic metabolic alkalosis
-thrombocytopenia
-skin disturbances
-transient deafness**
-thiamine deficiency
describe the drug furosemide (Lasix) Correct Answer ✓✓ -drug class:
potassium wasting loop diuretic
-contraindications: severe electrolyte imbalances, hypovolemia, anuria
-drug interactions: increase ototoxicity with ahminoglycosides
-therapeutic effects: treats fluid retention/fluid overload caused by HF,
renal dysfunction, cirrhosis, hypertension, or acute pulmonary edema
-adverse reactions: severe dehydration, marked hypotension
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