Question

1. When monitoring a patient for hypokalemia related to diuretic use, the nurse looks for which possible manifestations? Select all that apply.

a. hyperglycemia

b. paresthesia of face and extremities

c. muscle weakness

d. diarrhea

e. dysrhythmias and ECG changes

2. A patient is taking hydrochlorothiazide 50mg/day. What type of electrolyte imbalance does the nurse monitor for as a potential adverse effect?

a. hypocalcemia

b. hypermagnesemia

c. hypokalemia

d. hyperkalemia

3. Thiazide diuretics have which of the following characteristics?

a. Decreases reabsorption of sodium, water, chloride, and bicarbonate in the distal convoluted tubule.

b. Inhibits sodium and chloride reabsorption in the ascending limb of the loop of Henle.

c. Promotes retention of sodium and water and excretion of potassium.

d. Produces significant diuresis with significiant sodium loss.

4. A client asks "Why is my prescription being switched from furosemide to spironolactone?" What is the nurses best response?

a. You will have greater water losses with spironolactone than with furosemide.

b. You will have greater potassium losses with spironolactone than with furosemide

c. You will lose less potassium with spironolactone than with furosemide.

d. You will have greater sodium losses with spironolacotne than with furosemide.

Answer 1

1. Options BCDE are correct manifestation of the hypokalemia

muscle weakness and fattigue (major),paresthesia of face and extremities,diarrhea,Slight dysrhythmias and Slight ECG changes

2. Option A is correct when a patient is taking hydrochlorothiazide 50mg/day,  the major electrolyte imbalance the nurse should monitor as a potential adverse effect is hypocalcemia

3. Option B is correct as thiazide diuretics or loop diuretics, inhibits sodium and chloride reabsorption in the ascending limb of the loop of Henle.

4. Option C is correct because when the patient is switched from furosemide to spironolactone , it means that there will be less potassium loss in spironolactone than with furosemide. because spironolactone is potassium sparring diuretic and in case of thiazide therapy there are chances of hypokalemia