A child is admitted to the hospital for hypercalcemia, and is ...

[chandani]

A child is admitted to the hospital for hypercalcemia, and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
 
  1. Hydrochlorothiazide (Aquazide)
  2. Spironolactone (Aldactone)
  3. Furosemide (Lasix)
  4. Mannitol (Osmitrol)

Question 2

A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman:
 
  a. Substitute other calcium sources for milk in her diet.
  b. Lie down after each meal.
  c. Reduce the amount of fiber she consumes.
  d. Eat five small meals daily.

[popopong]

Answer to Question 1

3
Rationale:
1. Thiazide diuretics (hydrochlorothiazide) decrease calcium excretion, and should not be given to the hypercalcemic client.
2. Spironolactone (Aldactone) is a potassium-sparing diuretic, and would not be effective for excretion of calcium.
3. Furosemide (Lasix) is the diuretic used to aid in excretion of calcium.
4. Mannitol (Osmitrol) is a diuretic used to decrease cerebral edema, and is not routinely used to aid in excretion of calcium.

Answer to Question 2

D

Feedback
A Eliminating milk in the diet is an inappropriate dietary suggestion for all preg-nant women, and it does not alleviate heartburn.
B Lying down after meals may actually increase the symptoms of heartburn.
C Reducing the amount of dietary fiber consumed is not likely to alleviate heart-burn.
D Eating small, frequent meals may help with heartburn, nausea, and vomiting.