Which of the following drugs is a non-potassium-sparing diuretic for a child with a cardiac condition?
Captopril (Capoten)
Spironolactone (Aldactone)
Chlorothiazide (Duril)
Furosemide (LSK)
The Correct Answer is D
A. Captopril is an ACE inhibitor, not a diuretic. It is used to treat hypertension and heart failure by lowering blood pressure and reducing afterload.
B. Spironolactone is a potassium-sparing diuretic, meaning it helps the body eliminate fluid without causing potassium loss.
C. Chlorothiazide is a thiazide diuretic and can cause some potassium loss, but it is generally less potent than loop diuretics like furosemide.
D. Furosemide (Lasix/LSK) is a loop diuretic and a non–potassium-sparing diuretic. It is commonly used in children with cardiac conditions to reduce fluid overload but requires careful monitoring of electrolytes, especially potassium, due to the risk of hypokalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sores may occur from mouth trauma or viral infections but are not a common side effect of inhaled corticosteroids.
B. Hairy tongue is a rare condition usually linked to poor oral hygiene or antibiotic use, not inhaled corticosteroids.
C. Thrush (oral candidiasis) is a common side effect of inhaled corticosteroids. The medication can suppress local immunity in the mouth and throat, allowing Candida (yeast) to overgrow. This is why patients are advised to rinse their mouth after using inhaled corticosteroids.
D. Bad breath may result from dry mouth or infections but is not a primary or common side effect of this medication.
Correct Answer is C
Explanation
A. While hydration is important in respiratory illnesses, improved hydration is not the primary goal of using a cool mist tent.
B. A barking cough is a characteristic symptom of laryngotracheobronchitis (croup) and indicates ongoing airway irritation, not improvement.
C.. Stridor is a high-pitched, harsh sound caused by airway narrowing. A decrease in stridor indicates reduced inflammation and improved airway patency, which is the intended effect of the cool mist therapy.
D. A decreased temperature may occur with other supportive care or antipyretics, but it is not a direct indicator of improved airway function from mist therapy.
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