Question

1.A client has been diagnosed with renal failure and is surprised to learn of the large volume of blood that is filtered by the kidneys. The client asks, “If that much blood gets filtered, why don't people produce more urine than they do?” In response, the nurse should describe what phenomenon?

A. A very large majority of filtrate is returned to circulation.

B. Electrolytes draw the water from urine back into circulation.

C. Most of the substances that are removed from urine are recycled.

D. Most urine is processed internally rather than excreted.

2.The nurse has administered a diuretic that acts to block the chloride pump in the distal convoluted tubules and leads to a loss of sodium and potassium and a minor loss of water, a thiazide diuretic. What are the therapeutic uses of a Thiazide diuretic? (SELECT ALL that apply

A. First choice for essential hypertension​

B. Reduce the risk of postmenopausal osteoporosis

C. Increased force of myocardial contraction

D. Aids in glucagon reabsorption

E. Used for edema for moderate heart failure and liver and kidney disease.

3.The medication Sildenafil is contraindicated in clients taking a Nitrate. TRUE/FALSE

4.The nurse is providing teaching to a client who will start Tamsulosin for the treatment of benign prostatic hyperplasia. The nurse should instruct the client that a potential adverse effect can include the following?

​A. Hypotension

​B. Gynecomastia

​C. Androgenic effects

​D. Embolic events

5.Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?

A. “Take this medication in the evening.”​

B. “Avoid foods high in potassium, such as bananas, oranges, fresh vegetables, and dates.”​

C. “If you experience weight gain, such as 5 pounds or more per week, be sure to tell your physician during your next routine visit.”​

D. “Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.”

6.A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient’s daily routine?

A.​In the morning​

B.​At noon​

C.​With supper​

D.​At bedtime

Answer 1

Answer 1- A is right answer, large volume of filtrate blood return into circulation, waste product into the urine.

Answer - 2. A is right answer, thaizide diuretic are effective and first choise for essential hypertension. It increse sodium and water excreation at inhibits absorption at distal convoluted tubules of kidney.

Answer - 3. True .sildenafil contraindicated with nitrate because both are vasodilating agents so cause more hypotension and cause more complications.

Answer 4- A is right answer tamsulosin a major side effects is hypotension.

Answer 5.- D is answer, lasix decrease blood pressure of the patients, so should be carefully change position and rise slowly because chanse of more hypotension.

Answer 6-answer d, diuretics should not given at bed time to prevent night micturition.