Author Question: A nurse is administering a diuretic that inhibits reabsorption of sodium and chloride ions in the ... (Read 57 times)

KWilfred · **on:** Jul 23, 2018

A nurse is administering a diuretic that inhibits reabsorption of sodium and chloride ions in the distal and proximal tubules and in the loop of Henle. Which of the following might the nurse be administering? Select all that apply.

A) Chlorothiazide
B) Furosemide
C) Bumetanide
D) Mannitol
E) Spironolactone

Question 2

A nurse is administering acetazolamide to a client. The nurse understands that this drug leads to excretion of which of the following? Select all that apply.

A) Sodium
B) Magnesium
C) Potassium
D) Bicarbonate
E) Chloride

alexanderhamilton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B, C
Feedback:
Loop diuretics, like furosemide (Lasix) and bumetanide (Bumex), cause dieresis by inhibiting reabsorption of sodium and chloride ions in the distal and proximal tubules and in the loop of Henle. Thiazide and related diuretics such as chlorothiazide inhibit the reabsorption of sodium and chloride ions in the ascending portion of the loop of Henle and the early distal tubule of the nephron. Osmotic diuretics such as mannitol increase the density of the filtrate in the glomerulus. Potassium-sparing diuretics such as spironolactone work by blocking the reabsorption of sodium in the kidney tubules, thereby increasing sodium and water in the urine.

Answer to Question 2

Ans: A, C, D
Feedback:
Carbonic anhydrase inhibitors, like acetazolamide, result in the excretion of sodium, potassium, bicarbonate, and water.