Author Question: A client prescribed bumetanide (Bumex) asks the nurse, What is all this about 'loops' in my ... (Read 50 times)

jace · **on:** Jul 23, 2018

A client prescribed bumetanide (Bumex) asks the nurse, What is all this about 'loops' in my medicine? Which response by the nurse is the most appropriate?

1. This medication reabsorbs potassium in Henle's loop in your kidney.
2. This medication blocks sodium reabsorption in what is known as Bowman's capsule.
3. This is a loop diuretic, which refers to the location where it acts in your kidneys.
4. This is a loop diuretic, which means it works in the proximal tubule of your kidney.

Question 2

The nurse is teaching a client about spironolactone (Aldactone), and recognizes which statement as an indication that the client needs further teaching about this drug?

1. I am really happy that I can have my cranberry juice.
2. I am relieved that I do not have to give up my cabbage and mushrooms.
3. Thank goodness I can still have my orange juice and bananas for breakfast.
4. I need an apple a day to stay regular. I am glad I can still have this.

mcarey591 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Bumetanide (Bumex) causes potassium excretion.
Rationale 2: Bumetanide (Bumex) does not work at the level of Bowman's capsule.
Rationale 3: Bumetanide (Bumex) promotes sodium loss at Henle's loop, which leads to diuresis.
Rationale 4: Bumetanide (Bumex) works at the level of Henle's loop.
Global Rationale: Bumetanide (Bumex) promotes sodium loss at Henle's loop, which leads to diuresis. Bumetanide (Bumex) causes potassium excretion. Bumetanide (Bumex) does not work at the level of Bowman's capsule. Bumetanide (Bumex) works at the level of Henle's loop.

Answer to Question 2

Correct Answer: 3
Rationale 1: Cranberries are low in potassium.
Rationale 2: These foods are low in potassium.
Rationale 3: Orange juice and bananas are rich in potassium and should be avoided by persons taking spironolactone (Aldactone), which is a potassium-sparing diuretic.
Rationale 4: Apples are low in potassium.
Global Rationale: Orange juice and bananas are rich in potassium and should be avoided by persons taking spironolactone (Aldactone), which is a potassium-sparing diuretic. Cranberries, cabbage, mushrooms, and apples are low in potassium.