A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?
Mannitol
Spironolactone
Hydrochlorothiazide
Furosemide
The Correct Answer is B
A) Mannitol:
Mannitol is an osmotic diuretic that works by increasing the osmotic pressure in the glomerular filtrate, leading to increased urine output. It is not associated with causing hyperkalemia.
B) Spironolactone:
This is the correct choice. Spironolactone is a potassium-sparing diuretic that can put clients at risk for hyperkalemia. It works by blocking the action of aldosterone in the distal tubules of the kidneys, leading to decreased sodium reabsorption and increased potassium retention.
C) Hydrochlorothiazide:
Hydrochlorothiazide is a thiazide diuretic that promotes the excretion of sodium and water and can lead to potassium depletion (hypokalemia) rather than hyperkalemia.
D) Furosemide:
Furosemide is a loop diuretic that inhibits sodium and chloride reabsorption in the ascending loop of Henle. It can lead to potassium depletion (hypokalemia) rather than hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A) "If a client refuses a medication, you can place it in your pocket to administer later."
This statement is incorrect. Placing a medication in the pocket for later administration is not an appropriate practice and can lead to unauthorized possession and potential diversion of controlled substances. However, the second part of the statement, "You are required to have a second nurse witness disposal of a controlled substance," is correct.
B) "We use an automated dispensing device to track the use of controlled substances."
Automated dispensing devices are commonly used to track the administration and removal of controlled substances. This helps to ensure accountability and prevents diversion.
C) "Activities of the automated dispensing machine will be reviewed periodically."
Regular review of the activities of the automated dispensing machine helps to monitor for any discrepancies or irregularities in the handling of controlled substances, thus enhancing safety measures.
D) "We count the amount of a controlled substance available before removal from a medication drawer."
Counting the amount of controlled substance available before removal from a medication drawer is a crucial step in ensuring accurate inventory management and preventing unauthorized removal or diversion.
Correct Answer is B
Explanation
(A) Diarrhea: Diarrhea is typically associated with gastrointestinal disorders. It involves frequent loose or watery stools, which is not a symptom of respiratory alkalosis. Respiratory alkalosis is a condition that affects the respiratory system, causing an increase in the rate or depth of respiration, leading to a decrease in the concentration of carbon dioxide in the blood.
(B) Hyperventilation: Hyperventilation is indeed a common finding in respiratory alkalosis. When a person hyperventilates, they breathe out more carbon dioxide than their body produces. This lowers the level of carbon dioxide in the blood, leading to a rise in blood pH and causing the blood to become more alkaline - a state known as alkalosis.
(C) Dry skin: Dry skin is not typically associated with respiratory alkalosis. It’s more common in conditions like dehydration or skin disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the skin.
(D) Abdominal pain: Abdominal pain is not typically associated with respiratory alkalosis. It’s more common in gastrointestinal disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the digestive system.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.