Author Question: A client diagnosed with chronic renal failure and has gained 4 pounds in the past 24 hours. The ... (Read 49 times)

Jkov05 · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.