NURS 663 Exam 1 Questions And Correct Detailed Answers 2024/2025
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Course
NURS 663
Institution
NURS 663
NURS 663 Exam 1 Questions And
Correct Detailed Answers
2024/2025
What medications can increase lithium plasma levels? - ANSWER
NSAIDs, diuretics
How is the PHQ9 graded? - ANSWER minimal 0-4
Mild 5-9
Moderate 10-14
Moderate - severe 15-19
Severe 20+
What ...
NURS 663 Exam 1 Questions And
Correct Detailed Answers
2024/2025
What medications can increase lithium plasma levels? - ANSWER
✔ NSAIDs, diuretics
How is the PHQ9 graded? - ANSWER ✔ minimal 0-4
Mild 5-9
Moderate 10-14
Moderate - severe 15-19
Severe 20+
What is the known mechanism for the blood pressure lowering
effect of thiazides? - ANSWER ✔ Unknown.
What is the only available form of thiazides for intravenous
administration? - ANSWER ✔ Diuril.
Do thiazides and loops cause synergistic diuresis when given
together? - ANSWER ✔ Yes, when given correctly.
What is the recommended timing for administering thiazides prior
to loops? - ANSWER ✔ 30 minutes prior.
,Do thiazides work in patients with low renal output? - ANSWER
✔ No, loops are more effective.
Can thiazides be used in combination with loops? - ANSWER ✔
Yes, they can be used together.
Are hearing loss and pancreatitis established adverse effects of
loops? - ANSWER ✔ Yes.
Are hearing loss and pancreatitis established adverse effects of
thiazides? - ANSWER ✔ Not really established, but there are
suggestions.
Do both loops and thiazides have better sensitivity for excreting
calcium? - ANSWER ✔ Yes.
Do loops retain calcium? - ANSWER ✔ No.
Do thiazides retain calcium? - ANSWER ✔ Yes.
What agents are not recommended in pregnancy? - ANSWER ✔
Loop diuretics and thiazide diuretics
When are loop diuretics used in pregnancy? - ANSWER ✔ In
cases of heart failure
What do loop diuretics and thiazide diuretics increase? -
ANSWER ✔ Uric acid levels
What is the risk of increased uric acid levels? - ANSWER ✔
Development of gout
,Where do potassium sparing diuretics work in the nephron? -
ANSWER ✔ At the very end
What is the body normally trying to retain in the nephron? -
ANSWER ✔ Sodium
What is the active transport system responsible for retaining
sodium? - ANSWER ✔ Pump
What does the body have to create when retaining sodium? -
ANSWER ✔ Potassium ion
Why do potassium sparing diuretics disable the pump? -
ANSWER ✔ To retain more potassium
What is the diuretic effect of potassium sparing diuretics? -
ANSWER ✔ Almost none
What percentage of diuretic effect do potassium sparing diuretics
have? - ANSWER ✔ Between 1 to 5%, average of 3%
Why are potassium sparing diuretics commonly used? -
ANSWER ✔ To counteract potassium loss with loop diuretics
What are loop diuretics and potassium sparing diuretics used for
in combination? - ANSWER ✔ Hypertension
What is aldosterone? - ANSWER ✔ A steroid-based molecule
What is aldosterone referred to as? - ANSWER ✔ Mineral
corticoid
What does aldosterone regulate? - ANSWER ✔ Sodium
, What happens to potassium levels when aldosterone levels are
high? - ANSWER ✔ Excluded from the body
What happens when the body needs to retain volume? -
ANSWER ✔ Adrenocorticoid levels increase
Why does the body retain more sodium? - ANSWER ✔ Water
follows sodium
What is aldosterone? - ANSWER ✔ A major cause of resistant
hypertension.
What is a hyperaldosteronism? - ANSWER ✔ Underlying disease
that causes excessive aldosterone.
What is the definition of resistant hypertension? - ANSWER ✔
High blood pressure despite maximal doses of three other
antihypertensive agents.
Which potassium sparing diuretic blocks aldosterone? -
ANSWER ✔ Spironolactone.
What is the importance of spironolactone? - ANSWER ✔
Effective in treating various disease states.
What is the most common potassium sparing diuretic? -
ANSWER ✔ Triamterene.
How does triamterene work? - ANSWER ✔ Directly blocks and
interferes with the pump.
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