Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 23

Question 1 Type: MCMA The patient has been diagnosed with chronic renal failure and is receiving hydrochlorothiazide (HCTZ). The nurse has taught the patient about the i portance of !idney function" and evaluates that learning has occurred when the patient a!es which state ents# $ote% Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. '(idneys help y heart by balancing potassiu .' y body.'

2. '(idneys balance the fluid and electrolytes in 3. '(idneys !eep blood pressure fro

getting too low.'

4. '(idneys help decrease infections by e)creting bacteria.' 5. '(idneys help regulate the o)ygen levels in Corre t Ans!er: *"+", "ationa#e 1% The !idneys are the pri ary organs for regulating fluid and electrolyte balance. The !idneys are the pri ary organs for regulating potassiu balance. They secrete rennin" which helps to regulate blood pressure. The !idneys do not affect seru o)ygen levels. The !idneys do not have any i pact on bacterial infections. "ationa#e 2% The !idneys are the pri ary organs for regulating fluid and electrolyte balance. The !idneys are the pri ary organs for regulating potassiu balance. They secrete rennin" which helps to regulate blood pressure. The !idneys do not affect seru o)ygen levels. The !idneys do not have any i pact on bacterial infections. "ationa#e 3% The !idneys are the pri ary organs for regulating fluid and electrolyte balance. The !idneys are the pri ary organs for regulating potassiu balance. They secrete rennin" which helps to regulate blood pressure. The !idneys do not affect seru o)ygen levels. The !idneys do not have any i pact on bacterial infections. "ationa#e 4% The !idneys are the pri ary organs for regulating fluid and electrolyte balance. The !idneys are the pri ary organs for regulating potassiu balance. They secrete rennin" which helps to regulate blood pressure. The !idneys do not affect seru o)ygen levels. The !idneys do not have any i pact on bacterial infections. "ationa#e 5% The !idneys are the pri ary organs for regulating fluid and electrolyte balance. The !idneys are the pri ary organs for regulating potassiu balance. They secrete rennin" which helps to regulate blood pressure. The !idneys do not affect seru o)ygen levels. The !idneys do not have any i pact on bacterial infections. $#o%a# "ationa#e:
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

y blood.'

Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% /valuation (earnin& +ut ome: +,3* Question 2 Type: MC&A The nurse is anaging care for a group of patients on a renal failure unit. 4hat does the nurse recognize as the ost i portant patient safety precaution with regard to edication ad inistration# 1. (now that patients will re5uire less3than3average doses of 2. (now which drugs will increase fluid retention. 3. /nsure that each patient6s inta!e and output is 4. 7e aware of what drugs are nephroto)ic. Corre t Ans!er: * "ationa#e 1% Ad inistering the 'average' dose of edication to a patient in severe renal failure can have ortal conse5uences. The conse5uences of recognizing that renal patients will re5uire less3than3average doses of edications cannot be overe phasized. 8ecognizing which drugs are nephroto)ic is i portant" but not as i portant as !nowing that patients will need less3than3average doses. /nsuring that each patient6s inta!e and output is easured precisely is i portant" but not as i portant as !nowing that patients will need less3than3 average doses. (nowing which drugs will increase fluid retention is i portant" but not as i portant as !nowing that patients will need less3than3average doses. "ationa#e 2% Ad inistering the 'average' dose of edication to a patient in severe renal failure can have ortal conse5uences. The conse5uences of recognizing that renal patients will re5uire less3than3average doses of edications cannot be overe phasized. 8ecognizing which drugs are nephroto)ic is i portant" but not as i portant as !nowing that patients will need less3than3average doses. /nsuring that each patient6s inta!e and output is easured precisely is i portant" but not as i portant as !nowing that patients will need less3than3 average doses. (nowing which drugs will increase fluid retention is i portant" but not as i portant as !nowing that patients will need less3than3average doses. "ationa#e 3% Ad inistering the 'average' dose of edication to a patient in severe renal failure can have ortal conse5uences. The conse5uences of recognizing that renal patients will re5uire less3than3average doses of edications cannot be overe phasized. 8ecognizing which drugs are nephroto)ic is i portant" but not as i portant as !nowing that patients will need less3than3average doses. /nsuring that each patient6s inta!e and output is easured precisely is i portant" but not as i portant as !nowing that patients will need less3than3 average doses. (nowing which drugs will increase fluid retention is i portant" but not as i portant as !nowing that patients will need less3than3average doses. easured precisely. edications.

Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 4% Ad inistering the 'average' dose of edication to a patient in severe renal failure can have ortal conse5uences. The conse5uences of recognizing that renal patients will re5uire less3than3average doses of edications cannot be overe phasized. 8ecognizing which drugs are nephroto)ic is i portant" but not as i portant as !nowing that patients will need less3than3average doses. /nsuring that each patient6s inta!e and output is easured precisely is i portant" but not as i portant as !nowing that patients will need less3than3 average doses. (nowing which drugs will increase fluid retention is i portant" but not as i portant as !nowing that patients will need less3than3average doses. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% /valuation (earnin& +ut ome: +,3, Question 3 Type: MC&A The patient has a routine urinalysis done" and the results show protein in the urine. 4hat does the nurse correctly conclude about this result# 1. The patient is in acute renal failure" and needs to be hospitalized. 2. The patient probably has !idney da age9 protein should not be present in the urine. 3. There could be a ista!e with the results9 the patient should have another test done. ean nothing if the a ount of protein is very s all.

4. The results probably Corre t Ans!er: +

"ationa#e 1% 4hen filtrate passes through 7ow an6s capsule" its co position is si ilar to plas a. 1las a proteins are too large to pass through the filter" and if they appear in the filtrate or urine" this indicates !idney pathology. There is no evidence to support a ista!e with the results of the urinalysis. Any a ount of protein in the !idney is considered abnor al. There is no evidence that this patient is in acute renal failure. "ationa#e 2% 4hen filtrate passes through 7ow an6s capsule" its co position is si ilar to plas a. 1las a proteins are too large to pass through the filter" and if they appear in the filtrate or urine" this indicates !idney pathology. There is no evidence to support a ista!e with the results of the urinalysis. Any a ount of protein in the !idney is considered abnor al. There is no evidence that this patient is in acute renal failure. "ationa#e 3% 4hen filtrate passes through 7ow an6s capsule" its co position is si ilar to plas a. 1las a proteins are too large to pass through the filter" and if they appear in the filtrate or urine" this indicates !idney pathology. There is no evidence to support a ista!e with the results of the urinalysis. Any a ount of protein in the !idney is considered abnor al. There is no evidence that this patient is in acute renal failure.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 4% 4hen filtrate passes through 7ow an6s capsule" its co position is si ilar to plas a. 1las a proteins are too large to pass through the filter" and if they appear in the filtrate or urine" this indicates !idney pathology. There is no evidence to support a ista!e with the results of the urinalysis. Any a ount of protein in the !idney is considered abnor al. There is no evidence that this patient is in acute renal failure. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% /valuation (earnin& +ut ome: +,3+ Question 4 Type: MCMA &everal patients have been seen in the acute3care clinic. The nurse will plan to ad inister diuretic therapy to which patients# $ote% Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. The patient e)periencing visual and auditory hallucinations 2. The patient with confusion and ata)ia 3. The patient with a blood pressure of +00.:; Hg

4. The patient with generalized ede a and decreased urine output 5. The patient with pinpoint pupils and e)tre e paranoia Corre t Ans!er: ,""ationa#e 1% <iuretics are indicated for the treat ent of renal failure" hypertension" and for the re oval of ede a fluid. Confusion and ata)ia could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. =isual and auditory hallucinations could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. 1inpoint pupils and e)tre e paranoia could be the result of non3 renal pathology9 there is no evidence of fluid overload or hypertension here. "ationa#e 2% <iuretics are indicated for the treat ent of renal failure" hypertension" and for the re oval of ede a fluid. Confusion and ata)ia could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. =isual and auditory hallucinations could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. 1inpoint pupils and e)tre e paranoia could be the result of non3 renal pathology9 there is no evidence of fluid overload or hypertension here.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 3% <iuretics are indicated for the treat ent of renal failure" hypertension" and for the re oval of ede a fluid. Confusion and ata)ia could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. =isual and auditory hallucinations could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. 1inpoint pupils and e)tre e paranoia could be the result of non3 renal pathology9 there is no evidence of fluid overload or hypertension here. "ationa#e 4% <iuretics are indicated for the treat ent of renal failure" hypertension" and for the re oval of ede a fluid. Confusion and ata)ia could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. =isual and auditory hallucinations could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. 1inpoint pupils and e)tre e paranoia could be the result of non3 renal pathology9 there is no evidence of fluid overload or hypertension here. "ationa#e 5% <iuretics are indicated for the treat ent of renal failure" hypertension" and for the re oval of ede a fluid. Confusion and ata)ia could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. =isual and auditory hallucinations could be the result of non3renal pathology9 there is no evidence of fluid overload or hypertension here. 1inpoint pupils and e)tre e paranoia could be the result of non3 renal pathology9 there is no evidence of fluid overload or hypertension here. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 1lanning (earnin& +ut ome: +,3Question 5 Type: MC&A The patient is receiving chlorothiazide (<iuril). The nurse suspects the patient is e)hibiting side effects to the edication. 4hat will the best assess ent of the nurse include# 1. Ata)ia and fre5uent diarrhea 2. &eru 3. &eru potassiu sodiu level of ,.0 and low blood pressure

level of *>0 and headaches

4. Mental confusion and dependent ede a Corre t Ans!er: + "ationa#e 1% Hypo!ale ia and hypotension are serious side effects of diuretic therapy. Hypernatre ia and headaches are not side effects of diuretic therapy. Ata)ia and fre5uent diarrhea are not side effects of diuretic therapy. Mental confusion and dependent ede a are not side effects of diuretic therapy.

Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 2% Hypo!ale ia and hypotension are serious side effects of diuretic therapy. Hypernatre ia and headaches are not side effects of diuretic therapy. Ata)ia and fre5uent diarrhea are not side effects of diuretic therapy. Mental confusion and dependent ede a are not side effects of diuretic therapy. "ationa#e 3% Hypo!ale ia and hypotension are serious side effects of diuretic therapy. Hypernatre ia and headaches are not side effects of diuretic therapy. Ata)ia and fre5uent diarrhea are not side effects of diuretic therapy. Mental confusion and dependent ede a are not side effects of diuretic therapy. "ationa#e 4% Hypo!ale ia and hypotension are serious side effects of diuretic therapy. Hypernatre ia and headaches are not side effects of diuretic therapy. Ata)ia and fre5uent diarrhea are not side effects of diuretic therapy. Mental confusion and dependent ede a are not side effects of diuretic therapy. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3? Question , Type: MC&A The patient is receiving bu etanide (7u e)) and as!s the nurse" '4hat is all this about 6loops6 in 4hat is the best response by the nurse# 1. 'This edication reabsorbs potassiu y edicine#'

in the loop of Henle in your !idney. 2t is safer than other diuretics.'

2. 'This is a loop diuretic" which sa e way.'

eans it wor!s in the pro)i al loop of your !idney. $ot all diuretics wor! the

3. 'This is a loop diuretic" which refers to where it acts in your !idney. $ot all diuretics wor! the sa e way.' 4. 'This edication bloc!s sodiu sa e way.' Corre t Ans!er: , "ationa#e 1% 7u etanide (7u e)) is called a loop diuretic because it acts by preventing the reabsorption of sodiu in the loop of Henle. 7u etanide (7u e)) bloc!s reabsorption of sodiu in the loop of Henle" not in 7ow an6s capsule. 7u etanide (7u e)) is a potassiu 3e)creting drug9 it does not reabsorb potassiu . 7u etanide (7u e)) wor!s in the loop of Henle" not the pro)i al loop. "ationa#e 2% 7u etanide (7u e)) is called a loop diuretic because it acts by preventing the reabsorption of sodiu in the loop of Henle. 7u etanide (7u e)) bloc!s reabsorption of sodiu in the loop of Henle" not in 7ow an6s capsule. 7u etanide (7u e)) is a potassiu 3e)creting drug9 it does not reabsorb potassiu . 7u etanide (7u e)) wor!s in the loop of Henle" not the pro)i al loop.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

reabsorption in what is !nown as 7ow an6s capsule. $ot all diuretics wor! the

"ationa#e 3% 7u etanide (7u e)) is called a loop diuretic because it acts by preventing the reabsorption of sodiu in the loop of Henle. 7u etanide (7u e)) bloc!s reabsorption of sodiu in the loop of Henle" not in 7ow an6s capsule. 7u etanide (7u e)) is a potassiu 3e)creting drug9 it does not reabsorb potassiu . 7u etanide (7u e)) wor!s in the loop of Henle" not the pro)i al loop. "ationa#e 4% 7u etanide (7u e)) is called a loop diuretic because it acts by preventing the reabsorption of sodiu in the loop of Henle. 7u etanide (7u e)) bloc!s reabsorption of sodiu in the loop of Henle" not in 7ow an6s capsule. 7u etanide (7u e)) is a potassiu 3e)creting drug9 it does not reabsorb potassiu . 7u etanide (7u e)) wor!s in the loop of Henle" not the pro)i al loop. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3> Question Type: MC&A The physician has ordered hydrochlorothiazide (HCTZ) for the patient in chronic renal failure. The nurse suspects the patient is e)periencing an ineffective response to the edication. 4hich assess ent is a priority for this patient# 1. 8eviewing the lab wor! for hypo!ale ia and hyponatre ia 2. Assessing the vital signs for hypertension 3. Assessing the s!in for oisture and turgor

4. Auscultating breath sounds for wheezes Corre t Ans!er: "ationa#e 1% 4heezes are co only auscultated with pul onary ede a" which can occur with chronic renal failure and fluid retention. This is a priority because pul onary ede a affects the patient6s o)ygenation. &!in assess ent is i portant" but is not the priority here. =ital sign assess ent is i portant" but is not the priority here. 8eviewing lab wor! is i portant" but is not the priority here. "ationa#e 2% 4heezes are co only auscultated with pul onary ede a" which can occur with chronic renal failure and fluid retention. This is a priority because pul onary ede a affects the patient6s o)ygenation. &!in assess ent is i portant" but is not the priority here. =ital sign assess ent is i portant" but is not the priority here. 8eviewing lab wor! is i portant" but is not the priority here. "ationa#e 3% 4heezes are co only auscultated with pul onary ede a" which can occur with chronic renal failure and fluid retention. This is a priority because pul onary ede a affects the patient6s o)ygenation. &!in
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

assess ent is i portant" but is not the priority here. =ital sign assess ent is i portant" but is not the priority here. 8eviewing lab wor! is i portant" but is not the priority here. "ationa#e 4% 4heezes are co only auscultated with pul onary ede a" which can occur with chronic renal failure and fluid retention. This is a priority because pul onary ede a affects the patient6s o)ygenation. &!in assess ent is i portant" but is not the priority here. =ital sign assess ent is i portant" but is not the priority here. 8eviewing lab wor! is i portant" but is not the priority here. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3@ Question . Type: MC&A The patient is receiving spironolactone (Aldactone). The nurse has co pleted dietary education and evaluates that the patient needs additional education when the patient a!es which state ent# 1. '2 a really happy that 2 can have y cranberry Auice.' y orange Auice and bananas for brea!fast.' glad 2 can still have this.' y cabbage and ushroo s.'

2. 'Than! goodness 2 can still have

3. '2 need an apple a day to stay regular9 26 4. '2 a Ber an" so 2 could not give up

Corre t Ans!er: + "ationa#e 1% Crange Auice and bananas are high in potassiu " and are contraindicated with a potassiu 3sparing diuretic. Cranberries are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Cabbage and ushroo s are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Apples are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. "ationa#e 2% Crange Auice and bananas are high in potassiu " and are contraindicated with a potassiu 3sparing diuretic. Cranberries are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Cabbage and ushroo s are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Apples are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. "ationa#e 3% Crange Auice and bananas are high in potassiu " and are contraindicated with a potassiu 3sparing diuretic. Cranberries are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Cabbage and ushroo s are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Apples are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 4% Crange Auice and bananas are high in potassiu " and are contraindicated with a potassiu 3sparing diuretic. Cranberries are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Cabbage and ushroo s are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. Apples are low in potassiu and are not contraindicated with a potassiu 3sparing diuretic. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% /valuation (earnin& +ut ome: +,3; Question / Type: MC&A The elderly patient is receiving chlorothiazide (<iuril). 4hat does the best teaching by the nurse include with this edication# 1. 'Ta!e the edication early in the orning.'

2. 'Avoid foods that are high in potassiu .' 3. '2t is alright to have a glass of wine with this 4. 'Ta!e the edication on an e pty sto ach.' edication.'

Corre t Ans!er: * "ationa#e 1% /lderly patients should ta!e diuretics early in the orning to avoid nocturia. Absorption of chlorothiazide (<iuril) is decreased when ta!en on an e pty sto ach. Chlorothiazide (<iuril) is a potassiu e)creting drug and foods high in potassiu should be encouraged. Alcohol can potentiate the hypotensive effects of chlorothiazide (<iuril) and should be avoided" especially in the elderly. "ationa#e 2% /lderly patients should ta!e diuretics early in the orning to avoid nocturia. Absorption of chlorothiazide (<iuril) is decreased when ta!en on an e pty sto ach. Chlorothiazide (<iuril) is a potassiu e)creting drug and foods high in potassiu should be encouraged. Alcohol can potentiate the hypotensive effects of chlorothiazide (<iuril) and should be avoided" especially in the elderly. "ationa#e 3% /lderly patients should ta!e diuretics early in the orning to avoid nocturia. Absorption of chlorothiazide (<iuril) is decreased when ta!en on an e pty sto ach. Chlorothiazide (<iuril) is a potassiu e)creting drug and foods high in potassiu should be encouraged. Alcohol can potentiate the hypotensive effects of chlorothiazide (<iuril) and should be avoided" especially in the elderly. "ationa#e 4% /lderly patients should ta!e diuretics early in the orning to avoid nocturia. Absorption of chlorothiazide (<iuril) is decreased when ta!en on an e pty sto ach. Chlorothiazide (<iuril) is a potassiu e)creting drug and foods high in potassiu should be encouraged. Alcohol can potentiate the hypotensive effects of chlorothiazide (<iuril) and should be avoided" especially in the elderly.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

$#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3; Question 10 Type: MC&A The patient is receiving hydrochlorothiazide (HCTZ). The patient as!s the nurse what the best fluid to drin! to avoid dehydration is. 4hat is the best response by the nurse# 1. '2ced teas" especially the green teas.' 2. 'Any !ind of fluid is o!ay" but avoid alcohol.' 3. '1lain water is really the best.' 4. '/lectrolyte3replace ent drin!s li!e Batorade.' Corre t Ans!er: , "ationa#e 1% 1lain water is the best fluid for the patient to consu e while receiving diuretic therapy. /lectrolyte3 replace ent drin!s li!e Batorade are not as good as plain water in avoiding dehydration. 2ced teas" especially the green teas" are not as good as plain water in avoiding dehydration. 1lain water is the best fluid for the patient to drin! to avoid dehydration. "ationa#e 2% 1lain water is the best fluid for the patient to consu e while receiving diuretic therapy. /lectrolyte3 replace ent drin!s li!e Batorade are not as good as plain water in avoiding dehydration. 2ced teas" especially the green teas" are not as good as plain water in avoiding dehydration. 1lain water is the best fluid for the patient to drin! to avoid dehydration. "ationa#e 3% 1lain water is the best fluid for the patient to consu e while receiving diuretic therapy. /lectrolyte3 replace ent drin!s li!e Batorade are not as good as plain water in avoiding dehydration. 2ced teas" especially the green teas" are not as good as plain water in avoiding dehydration. 1lain water is the best fluid for the patient to drin! to avoid dehydration. "ationa#e 4% 1lain water is the best fluid for the patient to consu e while receiving diuretic therapy. /lectrolyte3 replace ent drin!s li!e Batorade are not as good as plain water in avoiding dehydration. 2ced teas" especially the green teas" are not as good as plain water in avoiding dehydration. 1lain water is the best fluid for the patient to drin! to avoid dehydration. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3*0 Question 11 Type: MC&A The patient is receiving chlorothiazide (<iuril). The nurse assesses the patient for hypo!ale ia. 4hat does the best assess ent include# 1. Confusion and decreased urine output 2. Muscle wea!ness or cra ps 3. Beneral irritability and increased urine output 4. <iarrhea and proAectile vo iting Corre t Ans!er: + "ationa#e 1% Muscle wea!ness or cra ps are indications of hypo!ale ia. <iarrhea and proAectile vo iting are not signs of hypo!ale ia. Confusion and decreased urine output are not signs of hypo!ale ia. Beneral irritability and increased urine output are not signs of hypo!ale ia. "ationa#e 2% Muscle wea!ness or cra ps are indications of hypo!ale ia. <iarrhea and proAectile vo iting are not signs of hypo!ale ia. Confusion and decreased urine output are not signs of hypo!ale ia. Beneral irritability and increased urine output are not signs of hypo!ale ia. "ationa#e 3% Muscle wea!ness or cra ps are indications of hypo!ale ia. <iarrhea and proAectile vo iting are not signs of hypo!ale ia. Confusion and decreased urine output are not signs of hypo!ale ia. Beneral irritability and increased urine output are not signs of hypo!ale ia. "ationa#e 4% Muscle wea!ness or cra ps are indications of hypo!ale ia. <iarrhea and proAectile vo iting are not signs of hypo!ale ia. Confusion and decreased urine output are not signs of hypo!ale ia. Beneral irritability and increased urine output are not signs of hypo!ale ia. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3; Question 12 Type: MC&A
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

Dour patients arrive at the e ergency depart ent. All have atte pted suicide by overdosing on 4hich patient will the nurse plan to transfer to the renal failure unit# 1. The patient who overdosed on lorazepa (Ativan)

edication.

2. The patient who overdosed on a itriptyline (/lavil) 3. The patient who overdosed on ibuprofen (Advil) 4. The patient who overdosed on 5uetiapine (&ero5uel) Corre t Ans!er: , "ationa#e 1% $&A2<s" such as ibuprofen" are nephroto)ic drugs. A itriptyline (/lavil) is cardioto)ic" not nephroto)ic. An overdose of lorazepa (Ativan) will result in C$& depression" not nephroto)icity. An overdose of 5uetiapine (&ero5uel) will result in C$& depression" not nephroto)icity. "ationa#e 2% $&A2<s" such as ibuprofen" are nephroto)ic drugs. A itriptyline (/lavil) is cardioto)ic" not nephroto)ic. An overdose of lorazepa (Ativan) will result in C$& depression" not nephroto)icity. An overdose of 5uetiapine (&ero5uel) will result in C$& depression" not nephroto)icity. "ationa#e 3% $&A2<s" such as ibuprofen" are nephroto)ic drugs. A itriptyline (/lavil) is cardioto)ic" not nephroto)ic. An overdose of lorazepa (Ativan) will result in C$& depression" not nephroto)icity. An overdose of 5uetiapine (&ero5uel) will result in C$& depression" not nephroto)icity. "ationa#e 4% $&A2<s" such as ibuprofen" are nephroto)ic drugs. A itriptyline (/lavil) is cardioto)ic" not nephroto)ic. An overdose of lorazepa (Ativan) will result in C$& depression" not nephroto)icity. An overdose of 5uetiapine (&ero5uel) will result in C$& depression" not nephroto)icity. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 1lanning (earnin& +ut ome: +,3*0 Question 13 Type: MC&A The patient is receiving chlorothiazide (<iuril). 4hat is the best 1. 'Avoid foods high in potassiu " such as bananas.' 2. '4eigh yourself" and report a gain of 3. '4eigh yourself and report a gain of ore than + pounds in +- hours.' ore than 0.? pounds in +- hours.' edication education by the nurse#

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4. '8eport signs of hypo!ale ia" such as vo iting and diarrhea.' Corre t Ans!er: + "ationa#e 1% 1atients receiving thiazide diuretics should chec! weight daily and report a weight gain of + or ore pounds in +- hours. 1atients receiving thiazide diuretics should consu e foods high in potassiu . =o iting and diarrhea are not signs of hypo!ale ia. A weight gain of ore than +" not 0.?" pounds in +- hours is considered the 'gold standard' for fluid overload. "ationa#e 2% 1atients receiving thiazide diuretics should chec! weight daily and report a weight gain of + or ore pounds in +- hours. 1atients receiving thiazide diuretics should consu e foods high in potassiu . =o iting and diarrhea are not signs of hypo!ale ia. A weight gain of ore than +" not 0.?" pounds in +- hours is considered the 'gold standard' for fluid overload. "ationa#e 3% 1atients receiving thiazide diuretics should chec! weight daily and report a weight gain of + or ore pounds in +- hours. 1atients receiving thiazide diuretics should consu e foods high in potassiu . =o iting and diarrhea are not signs of hypo!ale ia. A weight gain of ore than +" not 0.?" pounds in +- hours is considered the 'gold standard' for fluid overload. "ationa#e 4% 1atients receiving thiazide diuretics should chec! weight daily and report a weight gain of + or ore pounds in +- hours. 1atients receiving thiazide diuretics should consu e foods high in potassiu . =o iting and diarrhea are not signs of hypo!ale ia. A weight gain of ore than +" not 0.?" pounds in +- hours is considered the 'gold standard' for fluid overload. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3; Question 14 Type: MC&A The elderly patient is receiving ethacrynic acid (/decrin) and tells the nurse he doesn6t hear as well as he used to. 4hat is the best response by the nurse# 1. 'Eou ay be dehydrated9 are you drin!ing enough fluid#' edication.'

2. '2 will let your doctor !now about this9 it could be a side effect of your 3. 'How long have you been having difficulty hearing#' 4. '2 will schedule a hearing e)a 9 this could be a side effect of your Corre t Ans!er: +
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edication.'

"ationa#e 1% Foop diuretics are ototo)ic. 2nstruct the patient to report ringing in the ears or beco ing 'hard of hearing' and notify the physician. 2t is inappropriate to schedule a hearing e)a unless drug to)icity has been ruled out. As!ing the patient about how long he has had the hearing loss is a good 5uestion" but the nurse ust always report suspected side effects to the physician. Ctoto)icity is not related to dehydration. "ationa#e 2% Foop diuretics are ototo)ic. 2nstruct the patient to report ringing in the ears or beco ing 'hard of hearing' and notify the physician. 2t is inappropriate to schedule a hearing e)a unless drug to)icity has been ruled out. As!ing the patient about how long he has had the hearing loss is a good 5uestion" but the nurse ust always report suspected side effects to the physician. Ctoto)icity is not related to dehydration. "ationa#e 3% Foop diuretics are ototo)ic. 2nstruct the patient to report ringing in the ears or beco ing 'hard of hearing' and notify the physician. 2t is inappropriate to schedule a hearing e)a unless drug to)icity has been ruled out. As!ing the patient about how long he has had the hearing loss is a good 5uestion" but the nurse ust always report suspected side effects to the physician. Ctoto)icity is not related to dehydration. "ationa#e 4% Foop diuretics are ototo)ic. 2nstruct the patient to report ringing in the ears or beco ing 'hard of hearing' and notify the physician. 2t is inappropriate to schedule a hearing e)a unless drug to)icity has been ruled out. As!ing the patient about how long he has had the hearing loss is a good 5uestion" but the nurse ust always report suspected side effects to the physician. Ctoto)icity is not related to dehydration. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3; Question 15 Type: MC&A The hospitalized patient is receiving spironolactone (Aldactone). A consulting physician sees the patient and orders lisinopril (1rinivil). 4hat will be the pri ary assess ent by the nurse# 1. <ecreased effect of spironolactone (Aldactone) 2. Hypo!ale ia 3. Hyper!ale ia 4. <ecreased effect of lisinopril (1rinivil) Corre t Ans!er: , "ationa#e 1% Concurrent use of spironolactone (Aldactone) and AC/ inhibitors such as lisinopril (1rinivil)" ay predispose the patient to hyper!ale ia. The patient will be at ris! for hyper!ale ia" not hypo!ale ia. Fisinopril (1rinivil) does not decrease the effect of spironolactone (Aldactone). &pironolactone (Aldactone) does not decrease the effect of spironolactone (Aldactone).
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"ationa#e 2% Concurrent use of spironolactone (Aldactone) and AC/ inhibitors such as lisinopril (1rinivil)" ay predispose the patient to hyper!ale ia. The patient will be at ris! for hyper!ale ia" not hypo!ale ia. Fisinopril (1rinivil) does not decrease the effect of spironolactone (Aldactone). &pironolactone (Aldactone) does not decrease the effect of spironolactone (Aldactone). "ationa#e 3% Concurrent use of spironolactone (Aldactone) and AC/ inhibitors such as lisinopril (1rinivil)" ay predispose the patient to hyper!ale ia. The patient will be at ris! for hyper!ale ia" not hypo!ale ia. Fisinopril (1rinivil) does not decrease the effect of spironolactone (Aldactone). &pironolactone (Aldactone) does not decrease the effect of spironolactone (Aldactone). "ationa#e 4% Concurrent use of spironolactone (Aldactone) and AC/ inhibitors such as lisinopril (1rinivil)" ay predispose the patient to hyper!ale ia. The patient will be at ris! for hyper!ale ia" not hypo!ale ia. Fisinopril (1rinivil) does not decrease the effect of spironolactone (Aldactone). &pironolactone (Aldactone) does not decrease the effect of spironolactone (Aldactone). $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3*0 Question 1, Type: MC&A The pri ary functional unit of the !idney is the 1. loop of Henle. 2. 7ow an6s capsule. 3. nephron. 4. distal tubule. Corre t Ans!er: , "ationa#e 1% The loop of Henle filtrates. "ationa#e 2% The 7ow an6s capsule filters the blood. "ationa#e 3% The nephron is the functional unit which receives blood. "ationa#e 4% The distal tubule passes filtrate. $#o%a# "ationa#e:
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Co&niti'e (e'e#: 8e e bering C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3+ Question 1Type: MC&A The 1. ost appropriate food for the patient ta!ing loop diuretics is eat.

2. bananas. 3. cheese. 4. Eogurt. Corre t Ans!er: + "ationa#e 1% Meat provides protein" but not uch potassiu . are green leafy vegetables.

"ationa#e 2% 7ananas are great source of potassiu . Cther foods high in potassiu "ationa#e 3% Cheese is a good source of calciu . "ationa#e 4% yogurt is a good source of calciu . $#o%a# "ationa#e: Co&niti'e (e'e#: 8e e bering C#ient )eed: Health 1ro otion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 1lanning (earnin& +ut ome: +,3? Question 1. Type: MC&A

1har acotherapy with diuretics can cause which of the following general adverse effects# 1. Constipation 2. Crthostatic hypotension 3. 4eight gain
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4. Hypertension Corre t Ans!er: + "ationa#e 1% <iarrhea" not constipation" ight be a proble . on adverse effect of all the prototype drugs.

"ationa#e 2% Crthostatic hypotension is a co

"ationa#e 3% 4eight loss" not weight gain" will occur. "ationa#e 4% Hypertension usually does not occur. $#o%a# "ationa#e: Co&niti'e (e'e#: Gnderstanding C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3? Question 1/ Type: MC&A A patient with chronic !idney failure is ta!ing a loop diuretic. The nurse will advise the patient to ta!e the drug 1. with food. 2. in the orning.

3. at bedti e. 4. in the late afternoon. Corre t Ans!er: + "ationa#e 1% The edication does not need to be given with food. orning" since they increase urine flow" which could lead to

"ationa#e 2% 2t is best to ta!e loop diuretics in the inAury.

"ationa#e 3% Ta!ing a loop diuretic at bedti e will cause nightti e urination and interfere with sleep. "ationa#e 4% Fate afternoon is too late" since the drug will increase urine flow. $#o%a# "ationa#e: Co&niti'e (e'e#: Gnderstanding
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3? Question 20 Type: MC&A 4hich of the following is a co 1. 4eight gain 2. 7radycardia 3. Hypotension 4. =o iting Corre t Ans!er: , "ationa#e 1% Foop diuretics can produce dehydration and electrolyte i balances. &igns of dehydration include thirst" dry outh" weight loss" and headache. Hypotension" dizziness" and fainting can result fro the rapid fluid loss. "ationa#e 2% Tachycardia when dehydrated is the cardiac syste 6s response to fluid loss. "ationa#e 3% Hypotension results fro "ationa#e 4% =o iting is not a co $#o%a# "ationa#e: Co&niti'e (e'e#: Gnderstanding C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3; Question 21 Type: MC&A The diuretic drug that will 1. chlorothiazide (<iuril). 2. acetazola ide (<ia o)).
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

on adverse effect of furose ide (Fasi))#

large a ounts of fluid being e)creted. on adverse effect.

ost li!ely be used to reduce

ortality in heart failure is

3. furose ide (Fasi)). 4. spironolactone (Aldactone). Corre t Ans!er: "ationa#e 1% Chlorothiazide is a thiazide diuretic used pri arily for hypertension. "ationa#e 2% Acetazola ide is a carbonic anhydrase inhibitor used pri arily for patients with glauco a. "ationa#e 3% Durose ide is used for hypertension and reduction of ede a. "ationa#e 4% &pironolactone is used to reduce $#o%a# "ationa#e: Co&niti'e (e'e#: 8e e bering C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 1lanning (earnin& +ut ome: +,3; Question 22 Type: MC&A Foop diuretics 1. inhibit reabsorption of sodiu 2. bloc! sodiu and chloride in the loop of Henle. ortality in heart failure patients.

in the distal and pro)i al loops.

3. bloc! aldosterone. 4. pro ote e)cretion of water by adding sodiu Corre t Ans!er: * "ationa#e 1% Foop diuretics inhibit sodiu "ationa#e 2% Thiazide diuretics bloc! sodiu in the loop of Henle and increase urine output. in the distal tubule and nephron. to the filtrate.

"ationa#e 3% 1otassiu 3sparing diuretics bloc! aldosterone. "ationa#e 4% &o e $#o%a# "ationa#e: Co&niti'e (e'e#: 8e e bering
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

iscellaneous diuretics have this

echanis .

C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% /valuation (earnin& +ut ome: +,3: Question 23 Type: MCMA The nurse is caring for a patient who is e)periencing acute renal failure. The nurse !nows that this patient e)perience proble s regulating Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. fluid balance. 2. electrolyte co position. 3. the pH of body fluids. 4. heart rate. 5. blood pressure. Corre t Ans!er: *"+","? "ationa#e 1% The !idneys are the pri ary organs for regulating fluid balance through filtration and urine output. "ationa#e 2% The !idneys are the pri ary organs for regulating electrolyte co position through filtration and urine output. "ationa#e 3% The !idneys are the pri ary organ for regulating the pH of body fluids through filtration and urine output. "ationa#e 4% The !idneys do not play a role in regulating heart rate. "ationa#e 5% The !idneys play a role in regulating blood pressure through the secretion of renin. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: 1hysiological Adaptation )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3*
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ay

Question 24 Type: MCMA 4hich substances enter the filtrate by active secretion# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. Hydrogen 2. 1otassiu 3. 1hosphate 4. Chloride 5. &odiu Corre t Ans!er: *"+", "ationa#e 1% Hydrogen is pu ped into filtrate by "ationa#e 2% 1otassiu is pu ped into filtrate by olecular pu ps. olecular pu ps. olecular pu ps.

"ationa#e 3% 1hosphate is pu ped into filtrate by

"ationa#e 4% Chloride does not enter filtrate by active secretion. "ationa#e 5% &odiu $#o%a# "ationa#e: Co&niti'e (e'e#: 8e e bering C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: 1hysiological Adaptation )ursin&/*nte&rated Con epts: $ursing 1rocess% Assess ent (earnin& +ut ome: +,3+ Question 25 Type: MCMA The nurse is instructing a patient on the i portance of eating foods rich in potassiu causes hypo!ale ia. 4hich diuretics do not re5uire potassiu supple ents# while ta!ing a diuretic that does not enter filtrate by active secretion.

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

Standard Text: &elect all that apply. 1. Durose ide (Fasi)) 2. Chlorothiazide (<iuril) 3. A iloride (Mida or) 4. Mannitol (Cs itrol) 5. &pironolactone (Aldactone) Corre t Ans!er: ,"? "ationa#e 1% Durose ide (Fasi)) is a loop diuretic that often causes hypo!ale ia. 1atients ta!ing furose ide are encouraged to eat foods high in potassiu or ta!e a potassiu supple ent. "ationa#e 2% Chlorothiazide (<iuril) is a thiazide diuretic that often causes hypo!ale ia. 1atients ta!ing chlorothiazide are encouraged to eat foods high in potassiu or ta!e a potassiu supple ent. "ationa#e 3% A iloride (Mida or) is a potassiu 3sparing diuretic9 therefore" patients do not need to eat foods high in potassiu or ta!e a potassiu supple ent while on this edication. "ationa#e 4% Mannitol (Cs itrol) is an os otic diuretic that causes hypo!ale ia. A patient should be instructed to ta!e a potassiu supple ent. "ationa#e 5% &pironolactone (Aldactone) is a potassiu 3sparing diuretic. 1atients on this re5uired to eat foods high in potassiu or ta!e a potassiu supple ent. $#o%a# "ationa#e: Co&niti'e (e'e#: Analyzing C#ient )eed: Health 1ro otion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3? Question 2, Type: MCMA The nurse is preparing to discharge a patient who has been placed on a loop diuretic for the treat ent of congestive heart failure. 4hich foods should the nurse encourage the patient to consu e to prevent serious adverse effects associated with the edication# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply.
Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

edication are not

1. 7ananas 2. 8ed eat

3. Cranges 4. <ried dates 5. Breen" leafy vegetables Corre t Ans!er: *",""ationa#e 1% 7ananas are a potassiu 3rich food. 1atients on loop diuretics should eat foods rich in potassiu . "ationa#e 2% 8ed eats are high in iron and would not be a good source of potassiu for this patient.

"ationa#e 3% Citrus fruits are a good source of potassiu . 1atients on loop diuretics should eat foods rich in potassiu . "ationa#e 4% <ried dates are a good source of potassiu . 1atients on loop diuretics should eat foods rich in potassiu . "ationa#e 5% Breen" leafy vegetables are a good source of iron but not of potassiu . 1atients on loop diuretics should eat foods rich in potassiu . $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: Health 1ro otion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3> Question 2Type: MCMA The nurse is assessing a patient prior to the ad inistration of a diuretic. The nurse !nows it is essential to assess which vital signs at this ti e# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. Te perature 2. 1ulse
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3. 8espirations 4. 7lood pressure 5. 1ain Corre t Ans!er: +""ationa#e 1% 2t is not necessary to assess te perature prior to ad inistering a diuretic. "ationa#e 2% The nurse ust assess the patient6s pulse prior to ad inistering a diuretic.

"ationa#e 3% 2t is not necessary to assess respirations prior to ad inistering a diuretic. "ationa#e 4% The nurse ust assess the patient6s blood pressure prior to ad inistering a diuretic.

"ationa#e 5% 2t is not necessary to assess the patient6s pain prior to ad inistering a diuretic. $#o%a# "ationa#e: Co&niti'e (e'e#: Analyzing C#ient )eed: &afe /ffective Care /nviron ent C#ient )eed Su%: Manage ent of Care )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3; Question 2. Type: MCMA A ho e care nurse is instructing a patient with congestive heart failure on daily self3 onitoring between ho e care visits. The nurse should instruct the patient to onitor and record Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: &elect all that apply. 1. weight. 2. pulse. 3. te perature. 4. blood pressure. 5. respiratory rate. Corre t Ans!er: *"+"Ada s, Pharmacology for Nurse: A Pathophysiologic Approach, -./ Copyright +0*- by 1earson /ducation" 2nc.

"ationa#e 1% 2t is essential that the patient "ationa#e 2% 2t is essential that the patient edication therapy.

easure and record weight daily to

onitor for fluid loss or retention.

easure and record the pulse daily to deter ine the effectiveness of the easure and record a daily te perature while ta!ing a diuretic.

"ationa#e 3% There is no need for the patient to "ationa#e 4% 2t is essential that the patient of the edication therapy.

easure and record daily blood pressure to deter ine the effectiveness easure and record a daily respiratory rate while ta!ing a diuretic.

"ationa#e 5% There is no need for the patient to $#o%a# "ationa#e:

Co&niti'e (e'e#: Applying C#ient )eed: 1hysiological 2ntegrity C#ient )eed Su%: 1har acological and 1arenteral Therapies )ursin&/*nte&rated Con epts: $ursing 1rocess% 2 ple entation (earnin& +ut ome: +,3;

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