A client diagnosed with chronic renal failure and has gained 4 ...

[Jkov05]

A client diagnosed with chronic renal failure and has gained 4 pounds in the past 24 hours. The nurse anticipates that the client will receive which diuretic?
 
  1. Triamterene (Dyrenium)
  2. Ethacrynic acid (Edecrin)
  3. Mannitol (Osmitrol)
  4. Hydrochlorothiazide (HCTZ)

Question 2

The nurse is preparing to discharge a client who is prescribed a loop diuretic for the treatment of congestive heart failure.
 
  Which foods should the nurse encourage the client to consume to prevent serious adverse effects associated with the medication?
  Standard Text: Select all that apply.
  1. Bananas
  2. Red meat
  3. Oranges
  4. Dried dates
  5. Green leafy vegetables

[Kjones0604]

Answer to Question 1

Correct Answer: 2
Rationale 1: Triamterene, a potassium-sparing diuretic, produces only a weak diuresis.
Rationale 2: As a loop diuretic, ethacrynic acid can produce significant diuresis in the presence of renal failure.
Rationale 3: As an osmotic diuretic, use of mannitol is contraindicated in renal failure.
Rationale 4: Hydrochlorothiazide is not effective in the presence of renal failure.
Global Rationale: As a loop diuretic, ethacrynic acid can produce significant diuresis in the presence of renal failure. Triamterene, a potassium-sparing diuretic, produces only a weak diuresis. As an osmotic diuretic, use of mannitol is contraindicated in renal failure. Hydrochlorothiazide is not effective in the presence of renal failure.

Answer to Question 2

Correct Answer: 1,3,4
Rationale 1: Bananas are a potassium-rich food. Clients on loop diuretics should eat foods rich in potassium.
Rationale 2: Red meats are high in iron and would not be a good source of potassium for this client.
Rationale 3: Citrus fruits are a good source of potassium. Clients on loop diuretics should eat foods rich in potassium.
Rationale 4: Dried dates are a good source of potassium. Clients on loop diuretics should eat foods rich in potassium.
Rationale 5: Green leafy vegetables are a good source of iron but not of potassium. Clients on loop diuretics should eat foods rich in potassium.
Global Rationale: Bananas, citrus foods, and dried dates are potassium-rich foods. Clients on loop diuretics should eat foods rich in potassium. Red meats and green leafy vegetables are high in iron and would not be a good source of potassium for this client.

[Jkov05]

TYSM

[Jsherida]

Gracias!