The nurse is caring for a client with increased ocular pressure due to open-angle glaucoma. Which diuretic below is used specifically for open-angle glaucoma?

hydrochlorothiazide

furosemide

acetazolamide

spironolactone

Answer and Explanation

The Correct Answer is C

A. Hydrochlorothiazide is a thiazide diuretic that can be used for hypertension and edema but is not specifically indicated for open-angle glaucoma.
B. Furosemide is a loop diuretic used primarily for fluid overload conditions and does not have a specific role in the treatment of open-angle glaucoma.
C. Acetazolamide is a carbonic anhydrase inhibitor that reduces aqueous humor production and is specifically used to lower intraocular pressure in clients with open-angle glaucoma.
D. Spironolactone is a potassium-sparing diuretic used mainly for conditions like heart failure and hypertension, and it is not indicated for the treatment of open-angle glaucoma.

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Correct Answer is D

Explanation

A. Hydralazine is a vasodilator that does not directly replace ACE inhibitors and is not the preferred alternative for managing hypertension or heart failure.
B. Metoprolol is a beta-blocker that is used for different indications and is not a direct substitute for ACE inhibitors.
C. Furosemide is a loop diuretic used for fluid management, not as an alternative to ACE inhibitors.
D. Losartan is an angiotensin II receptor blocker (ARB) and serves as a suitable alternative to ACE inhibitors for patients who experience a cough from them, as ARBs do not typically cause this side effect.

A. "Limit use of the drug to 3 days to prevent rebound nasal congestion." B. "Take this drug at bedtime because it may cause drowsiness." C. "This medication may take up to a week to see effects." D. "This drug may be used in maintenance treatment for asthma."

Correct Answer is A

Explanation

A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.
B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.
C. Oxymetazoline has a rapid onset and should not take a week to show effects.
D. Oxymetazoline is a nasal decongestant and is not used for asthma management.

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The nurse is caring for a client with increased ocular pressure due to open-angle glaucoma. Which diuretic below is used specifically for open-angle glaucoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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