Unfolding Case Study
3.
b.
Anuria is a contraindication to diuretic administration. Accordingly, decreasing urine output should be reported to the health care provider because it could indicate that the client’s renal function is deteriorating.
4.
b.
Nonpharmacologic treatment for edema includes a low-sodium diet, walking, and elevating extremities to reduce swelling.
5.
a.
Green, leafy vegetables are an important part of a low-sodium diet with potassium-rich foods. This statement indicates a need for further teaching.
Review Questions
1.
c.
The diuretic effect of furosemide can cause electrolyte abnormalities such as hyponatremia and hypokalemia, which cause weakness.
2.
d.
Amiloride is a potassium-sparing diuretic, so salt substitutes containing potassium should be avoided.
4.
b.
Mannitol is an osmotic diuretic that creates an osmotic gradient that pulls water from cells into the intravascular space.
6.
a.
Mannitol is contraindicated for clients with heart failure. Lung congestion and peripheral edema are signs of this condition for which the nurse needs to monitor.
8.
a.
The nurse should instruct the client to take diuretics in the morning to help prevent nocturia.
10.
b.
Diuretics such as furosemide have a threshold dose that is required for response, as well as a ceiling dose beyond which the diuretic effect will not increase.