A patient is switched from Lasix to Aldactone. The patient asks why her med has been switched What is the best response?

You will lose less potassium with spironolactone than with furosemide.

A patient is prescribed hydrochlorothiazide for hypertension. Which patient teaching should the nurse include?

It’s important to eat foods high in potassium.

Patient on diuretics has frequent urination & reports anxiety about leaving home. What's the best nursing intervention?

Discuss strategies for managing anxiety related to frequent urination.

A patient taking spironolactone reports feeling tired & weak. Which assessment should the nurse perform first?

Assess the patient’s potassium level.

Patient with peripheral edema is prescribed furosemide. How would the nurse determine the extent of fluid loss?

Assess the patient's skin turgor on a daily basis.

All of the following patients CANNOT be given furosemide EXCEPT?

A 47 y/o patient with edema due to renal disease.

You are teaching a patient about loop diuretic side effects. Which patient statement indicates correct understanding?

I should be aware of signs of dehydration, such as dry mouth and dizziness.

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Diuretic Drugs

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Answers

1
A patient is switched from Lasix to Aldactone. The patient asks why her med has been switched What is the best response?
You will have greater water losses with spironolactone than with furosemide
You will lose less potassium with spironolactone than with furosemide.
You will have greater sodium loss with spironolactone than with furosemide
You will have more potassium loss with spironolactone than with furosemide.
2
A patient is prescribed hydrochlorothiazide for hypertension. Which patient teaching should the nurse include?
It’s important to eat foods high in potassium.
You may experience weight gain while taking this medication.
This medication can cause increased urination, so limit your fluid intake.
Take this medication in the evening before bed.
3
Patient on diuretics has frequent urination & reports anxiety about leaving home. What's the best nursing intervention?
Provide education on the importance of adhering to the medication schedule.
Discuss strategies for managing anxiety related to frequent urination.
Suggest the patient limit fluid intake.
Encourage the patient to wear protective garments for comfort.
4
A patient taking spironolactone reports feeling tired & weak. Which assessment should the nurse perform first?
Perform a physical assessment for edema.
Review the patient’s dietary intake.
Check the patient’s blood pressure.
Assess the patient’s potassium level.
5
A nurse is caring for a patient taking a loop & a thiazide diuretic. What primary concern should the nurse monitor for?
Dehydration
Hyperkalemia
Hypokalemia
Hypertension
6
Patient with peripheral edema is prescribed furosemide. How would the nurse determine the extent of fluid loss?
Weigh the patient daily.
Test the osmolarity of the patient's urine regularly.
Assess the patient's skin turgor on a daily basis.
Auscultate the patient's chest each morning.
7
All of the following patients CANNOT be given furosemide EXCEPT?
A 28 y/o pregnant patient with hypertension.
A heart failure patient who reports a sulfonamide allergy.
A 47 y/o patient with edema due to renal disease.
A 55 y/o patient with gout.
8
You are caring for a patient on loop diuretics. Which condition would be contraindicated for this class of medication?
Hyperkalemia
Renal failure
Hypertension
Pulmonary edema
9
You are teaching a patient about loop diuretic side effects. Which patient statement indicates correct understanding?
I can take this medication whenever I want.
I may have to increase my sodium intake while on this medication.
This medication will not affect my potassium levels.
I should be aware of signs of dehydration, such as dry mouth and dizziness.
10
A patient has edema of lower extremities w/ crackles in the lung bases. What diuretic is the nurse most likely to give?
Mannitol
Hydrochlorothiazide
Spironolactone
Furosemide

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