Answer to Question 1
3
Rationale 1: Indapamide (Lozol) is a thiazide diuretic.
Rationale 2: Amiloride hydrochloride (Midamor) is a potassium-sparing diuretic.
Rationale 3: Osmotic diuretics have very specific applications. Mannitol is used to maintain urine flow in clients with acute renal failure or during prolonged surgery. It can also be used to lower intraocular pressure in certain types of glaucoma.
Rationale 4: Triamterene (Dyrenium) is a potassium-sparing diuretic.
Global Rationale: Osmotic diuretics have very specific applications. Mannitol is used to maintain urine flow in clients with acute renal failure or during prolonged surgery. It can also be used to lower intraocular pressure in certain types of glaucoma.
Answer to Question 2
1
Rationale 1: Spironolactone is a potassium-sparing diuretic, and does such an efficient job of retaining potassium that hyperkalemia can develop. The probability of hyperkalemia is increased if the client is also taking an ACE inhibitor.
Rationale 2:Digoxin (Lanoxin) is incorrect because digoxin toxicity occurs most often with the use of loop diuretics (Lasix) or thiazide diuretics (HydroDIURIL).
Rationale 3:Furosemide (Lasix) is incorrect. Spironolactone is a potassium-sparing diuretic, and does such an efficient job of retaining potassium that hyperkalemia can develop. The probability of hyperkalemia is increased if the client is also taking an ACE inhibitor.
Rationale 4:Hydrochlorothiazide (HydroDIURIL) is incorrect because this is a thiazide diuretic.
Global Rationale: Spironolactone is a potassium-sparing diuretic, and does such an efficient job of retaining potassium that hyperkalemia can develop. The probability of hyperkalemia is increased if the client is also taking an ACE inhibitor.
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