A nurse is administering bumetanide to a client who has ascites.
The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

Decreased excretion of urine sodium.

Increased urinary output.

Decreased serum glucose.

Increased blood pressure.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Bumetanide is a loop diuretic that promotes sodium and water excretion by inhibiting sodium reabsorption in the kidney. It increases urine sodium excretion, helping to reduce fluid accumulation.

Choice B rationale

Increased urinary output is an expected therapeutic effect of bumetanide, as it helps remove excess fluid from the body, which is particularly beneficial in conditions like ascites.

Choice C rationale

Bumetanide does not significantly affect serum glucose levels. Its primary action is on the renal excretion of sodium and water, making it effective in managing fluid balance.

Choice D rationale

Bumetanide typically decreases blood pressure by reducing fluid volume and preload. Increased blood pressure is not an expected therapeutic effect of bumetanide in clinical use. .

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Correct Answer is B

Explanation

Choice A rationale

Finasteride does not increase the size of the prostate gland. Instead, it inhibits the conversion of testosterone to dihydrotestosterone (DHT), leading to a reduction in prostate size in conditions like benign prostatic hyperplasia.

Choice B rationale

Finasteride can increase the risk of impotence as it lowers DHT levels, which may affect sexual function. Patients should be informed about potential side effects, including decreased libido and erectile dysfunction.

Choice C rationale

Finasteride might decrease, rather than increase, the amount of ejaculate. It affects the seminal fluid by reducing DHT levels, which can lead to changes in ejaculation volume and consistency.

Choice D rationale

Finasteride typically requires at least three to six months of consistent use before noticeable hair growth occurs. Expecting increased hair growth within one month is unrealistic and misinformed. .

A. A client taking prednisone. B. A client taking torsemide. C. A client taking polystyrene sulfonate. D. A client taking spironolactone. E. A client taking hydrochlorothiazide.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Prednisone, a corticosteroid, causes potassium loss through increased renal excretion, leading to hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice B rationale

Torsemide, a loop diuretic, increases renal potassium loss, causing hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice C rationale

Polystyrene sulfonate treats hyperkalemia by binding potassium in the gut, reducing serum potassium levels. Normal serum potassium: 3.5-5.0 mEq/L.

Choice D rationale

Spironolactone is a potassium-sparing diuretic, reducing the risk of hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice E rationale

Hydrochlorothiazide, a thiazide diuretic, increases renal potassium loss, leading to hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

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A nurse is administering bumetanide to a client who has ascites.The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is starting to take finasteride for the treatment of male pattern baldness.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","E"]

Explanation

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A nurse is administering bumetanide to a client who has ascites.
The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?