A patient with acute kidney injury (AKI) is prescribed furosemide ...

[maychende]

A patient with acute kidney injury (AKI) is prescribed furosemide (Lasix). The nurse realizes that this medication will be helpful to the patient because it will
 
  1. reduce edema.
  2. keep sodium in the body.
  3. preserve protein.
  4. be the gentlest diuretic to use.

Question 2

A patient with chronic kidney disease is diagnosed with hypertension. The nurse realizes that this patient's blood pressure needs to be controlled because
 
  1. not doing so increases the risk of adverse effects on the kidneys.
  2. it is the easiest diagnosis to treat.
  3. medications are available to treat this disorder.
  4. everyone should have low-normal blood pressure.

[zacnyjessica]

Answer to Question 1

Correct Answer: 1
If restoration of renal blood flow does not improve urinary output, a potent loop diuretic such as furosemide may be given with intravenous fluids to help manage fluid overload. Furosemide may also be used to manage salt and water retention associated with ARF as it helps to eliminate sodium. Furosemide does not preserve protein. Medications are not typically prescribed by their gentleness. Each patient's response to a medication can be unique.

Answer to Question 2

Correct Answer: 1
Management of hypertension to maintain blood pressure within normal limits the risk of adverse effects on the kidneys. Hypertension is not always easily diagnosed. The goal of having this patient's blood pressure under control is directly related to his chronic kidney disease. Just because medications are available to treat the disorder is not a rationale for why blood pressure should be controlled. The idea of everyone having low-normal blood pressure does not apply to this patient because of the new diagnosis and history of chronic kidney disease.

[maychende]

TYSM

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it