A nurse is reviewing a newly admitted patient's medication ...

[rlane42]

A nurse is reviewing a newly admitted patient's medication administration record and notes that the patient takes a loop diuretic as well as a thiazide diuretic.
 
  The nurse understands what primary rationale for the concurrent use of these two drugs? A) Increased diuretic effect
  B) Reduced risk of potassium imbalances
  C) Decreased blood pressure without a risk of bradycardia
  D) Increased adherence to treatment

Question 2

A patient with a diagnosis of breast cancer is administered a corticosteroid in addition to chemotherapy agents. What effect will the corticosteroids have on this patient's course of recovery?
 
  A) The corticosteroid will decrease signs and symptoms of cancer.
  B) The corticosteroid will alter the action of the chemotherapy agent.
  C) The corticosteroid will decrease metastasis to distant sites.
  D) The corticosteroid will decrease hepatic effects of the chemotherapy.

[Jayson]

Answer to Question 1

A
Feedback:
When an inadequate diuretic response occurs with one drug, people sometimes take two potassium-losing diuretics concurrently. The combination of a loop and a thiazide diuretic has synergistic effects because the drugs act in different segments of the renal tubule. Thus, the rationale for this particular combination is not rooted in prevention of potassium imbalances, increased adherence, or maintenance of a normal heart rate.

Answer to Question 2

A
Feedback:
The administration of corticosteroid agents in cancer will assist in decreasing symptoms associated with cancer. The administration of the corticosteroid will not alter the action of the chemotherapy agent. The corticosteroid will not affect metastasis. The corticosteroid will not decrease hepatic effects.