A patient with a history of heart failure is prescribed torsemide. Which dietary modification should the nurse recommend?
Include foods rich in potassium in the diet.
Increase calcium-rich foods.
Restrict fluid intake to 500 mL/day.
Restrict foods rich in potassium in the diet.
The Correct Answer is A
(A) Include foods rich in potassium in the diet: Torsemide is a loop diuretic, which increases potassium excretion and may cause hypokalemia, requiring potassium supplementation.
(B) Increase calcium-rich foods: Torsemide primarily affects potassium, not calcium.
(C) Restrict fluid intake to 500 mL/day: Fluid restrictions may be necessary in severe heart failure, but 500 mL/day is too restrictive unless specifically indicated.
(D) Restrict foods rich in potassium in the diet: Torsemide causes potassium loss, not retention, so restricting potassium would worsen hypokalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Severe Dehydration: Prerenal AKI is caused by reduced blood flow to the kidneys. Dehydration leads to hypovolemia, reducing renal perfusion and causing AKI.
(B) Renal Calculi: Postrenal AKI, not prerenal.
(C) Polycystic Kidney Disease: Chronic kidney disease, not acute.
(D) Glomerulonephritis: Intrarenal AKI, due to direct kidney damage
Correct Answer is ["A","B","C","E"]
Explanation
(A) Thirst: The body increases thirst to compensate for high sodium levels and prevent dehydration.
(B) Seizures: Severe hypernatremia causes neurological symptoms like seizures due to cerebral dehydration.
(C) Dry Mucous Membranes: Water loss leads to dry oral mucosa.
(E) Muscle Weakness: Electrolyte imbalances affect neuromuscular function, leading to weakness.
(D) Bradycardia: Hypernatremia is more likely to cause tachycardia due to dehydration and hypovolemia.
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