A nurse is caring for a client that will receive a diuretic for fluid overload.
Which of the following diuretics act on the loop of Henle?
Spironolactone.
Hydrochlorothiazide.
Furosemide.
Mannitol.
The Correct Answer is C
Choice A rationale
Spironolactone is a potassium-sparing diuretic that acts on the collecting ducts and late distal tubules but not on the loop of Henle.
Choice B rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, not the loop of Henle.
Choice C rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle to inhibit sodium and chloride reabsorption, leading to increased urine output.
Choice D rationale
Mannitol is an osmotic diuretic that primarily acts on the proximal tubule and the descending limb of the loop of Henle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Aspiration is not recommended for subcutaneous injections because it can increase tissue damage and pain. Enoxaparin should be administered without aspiration.
Choice B rationale
Prefilled syringes of enoxaparin contain an air bubble to ensure the entire dose is administered. Expelling the air bubble before injection is not recommended.
Choice C rationale
Enoxaparin should be administered in the abdomen, at least 2 inches away from the umbilicus, to ensure proper absorption and effectiveness.
Choice D rationale
Enoxaparin should be administered subcutaneously, and the needle should be inserted completely to ensure the medication is delivered into the subcutaneous tissue.
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Controlled substances have a potential for dependence because they can cause physical and psychological dependence when misused. The dependence is characterized by withdrawal symptoms when the substance is not used, and it is a key factor in the regulation of these substances.
Choice D rationale
Controlled substances have a Schedule classification as mandated by the Controlled Substances Act (CSA). The schedule classification indicates the potential for abuse and medical use, with Schedule I substances having the highest potential for abuse and no accepted medical use, while Schedule V substances have the lowest potential for abuse.
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