Question

6. 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. 7. The medication Sildenafil is contraindicated in clients taking a Nitrate. TRUE FALSE 8. 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 9. 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." 10. 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 At noon With supper At bedtime B.

Answer 1

6. Therapeutic use of thiazide diuretics includes

a. First choice for essential hypertension

b. Reduce the risk of postmenopausal osteoporosis (because it reduces calcium loss through urine)

e. used for edema for moderate heart failure, liver and kidney disease.

7.

The medication sildenafil is contraindicated in clients taking a nitrate.

(TRUE)

Because of pharmacodynamic drug interaction which can lead to severe hypotension.

8.

The adverse effect of Tamsulosin is Hypotension.

Answer - Hypotension.

Tamsulosin is a class of drugs named alpha-adrenergic blockers, which helps in relaxing the muscle of bladder and prostate.

9.

Regarding Lasix, the nurse should tell

Answer- Be sure to change position slowly and rise slowly after sitting or lying so as to prevent dizziness or possible fainting because of blood pressure changes.

Thes signs know as orthostatic hypotension, it is very common in loop diuretics like Lasix, so, the nurse should educate the patient about position change.

10.

The nurse should instruct to take diuretics in the morning.

Answer - A. In the morning