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Pharmacology for Nurses

Review Questions

Pharmacology for NursesReview Questions
1.
Which symptom is most likely to occur in a client who is taking furosemide?
  1. Bradycardia
  2. Chest pain
  3. Muscle weakness
  4. More concentrated urine
2.
Which statement indicates that the client needs additional education on their newly prescribed medication, amiloride?
  1. “I will take this medication first thing in the morning.”
  2. “I will report any weight loss that occurs after I start taking it.”
  3. “I will avoid taking nonsteroidal anti-inflammatory medications.”
  4. “I will switch to a salt substitute containing potassium chloride.”
3.
Which eGFR value is consistent with a client who has chronic renal disease?
  1. 90 mL/minute/1.73 m2
  2. 75 mL/minute/1.73 m2
  3. 45 mL/minute/1.73 m2
  4. 120 mL/minute/1.73 m2
4.
Which medication increases solute concentration in the blood to drive fluid shifts for excretion?
  1. Bumetanide
  2. Mannitol
  3. Metolazone
  4. Triamterene
5.
The nurse is caring for an older adult female client with a history of osteoporosis who was recently diagnosed with hypertension. Which diuretic would be most appropriate for this client?
  1. Triamterene
  2. Hydrochlorothiazide
  3. Spironolactone
  4. Furosemide
6.
Which sign is most concerning for the client receiving mannitol?
  1. Lung congestion and peripheral edema
  2. Increased urine output
  3. Orthostatic hypotension
  4. Elevated blood glucose levels
7.
The nurse should monitor the client receiving spironolactone for which adverse effect?
  1. Nausea and vomiting
  2. Increased intracranial pressure
  3. Hearing loss
  4. Cardiac arrhythmias
8.
The nurse is providing discharge teaching for a client who was started on a thiazide diuretic during this hospitalization. Which statement indicates that additional instruction is required?
  1. “I’m concerned about getting up to go to the bathroom all night every night.”
  2. “I will let the doctor know if I develop leg cramps.”
  3. “I need to read food labels to check for salt.”
  4. “I need to eat some potassium every day for a month or so.”
9.
Which medication could be prescribed to treat hyperkalemia?
  1. Mannitol
  2. Hydrochlorothiazide
  3. Spironolactone
  4. Furosemide
10.
Which of the following statements is correct?
  1. Furosemide is an effective treatment for nephrotic syndrome.
  2. To be effective, the dose of a diuretic must meet the threshold dose for the drug.
  3. Diuretic therapy improves clinical outcomes in clients with acute kidney injury.
  4. Oliguria is an absolute contraindication for diuretic therapy.
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