Answer to Question 1
ANS: A
The risk of furosemide-induced hearing loss is increased by concurrent use of other ototoxic drugs, especially aminoglycoside antibiotics, such as gentamicin. Ringing in the ears or dizziness may indicate impending or actual cochlear damage.
Some nocturia may be expected, especially if furosemide is given late in the evening.
Elevating the extremity helps alleviate swelling but does not address the intent of the question.
Tendonitis is not associated with aminoglycoside or diuretic therapy.
Answer to Question 2
ANS: B
Obtaining potassium levels is essential with a potassium-sparing diuretic, such as spironolactone. If the patient has evidence of hyperkalemia, the medication should be held and the prescriber notified.
Obtaining the patient's blood pressure is more important when one of the more rapidly working diuretics (e.g., furosemide) is used to treat edema secondary to pulmonary edema or heart failure.
Level of consciousness would not be a consideration prior to administration of spironolactone.
Serum sodium levels are not important as they relate to the administration of spironolactone.
Patient with exophthalmos.
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