Answer to Question 1
2
Rationale 1: Loop diuretics are the most effective diuretics in increasing urine output.
Rationale 2: Carbonic anhydrase inhibitors have very weak diuresis and more adverse effects.
Rationale 3: Thiazide diuretics are the most widely prescribed class of diuretics and have less adverse effects.
Rationale 4: Potassium sparing diuretics are less effective but prevent hypokalemia.
Global Rationale: Two less commonly prescribed diuretics have limited indications. These include carbonic anhydrase inhibitors and osmotic diuretics.
Answer to Question 2
3
Rationale 1: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. The client will have issues during this hospitalization and the healthcare team should be aware.
Rationale 2: The physical therapist does not need this information during the nursing admission.
Rationale 3: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. The kidney function will impact the excretion of medications.
Rationale 4: The nurse does not need to follow up with the pharmacist at this time.
Global Rationale: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. The kidney function will impact excretion of medications. Overall wellness is strongly dependent on proper functioning of the kidneys.
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