Question

14. When monitoring a patient for hypokalemia related to diuretic use, the nurse looks for which possible symptoms? Nausea, vomiting, and anorexia a. b. Diarrhea and abdominal pain c. Orthostatic hypotension d. Muscle weakness and lethargy 15. A patient with severe heart failure has been started on therapy with a carbonic anhydrase inhibitor (CAI), but the nurse mentions that this medication may be stopped in a few days. What is the reason for this short treatment? a. CAls are not the first choice for treatment of heart failure. b. Metabolic acidosis develops in 2 to 4 days after therapy is started c. It is expected that CAls will dramatically reduce the fluid overload related to heart failure. d. Allergic reactions to EAls are common. 16. A patient has a new order for daily doses of spironolactone (Aldactone). Which condition, if present, may be a contraindication to this drug therapy? (Select all that apply) a.Heart failure b. Renal failure c. Diabetes mellitus d. Deep vein thrombosis e. Hyperkalemia 17. A patient is to receive furosemide (Lasix) 120 mg every morning via PEG tube. The medication is available in a liquid form, 40 mg/5 mL. Mark on the medication cup how many milliliters the patient will receive for this dose

Answer 1

14 d GI tract loss of potassium secondary to diarrhea ,laxative abuse ,vomiting,ileostomy drainage can cause hypokalaemia.The clinical manifestations are fatigue,muscle weakness and cramps,nausea,vomiting,paralytic ileus,soft flabby muscles,weak irregular pulse,polyuria and hyperglycemia.

15 b Diuresis and natriuresis last for 48-72 hours.Acidosis is a long term issue with this medication.

16 b,c it is contraindicated in acute renal insufficiency ,anuria and hyperkalemia.