Answer to Question 1
B
Furosemide can promote fluid loss even when the GFR is low, whereas the thiazide diuretics are not effective with renal dysfunction. Loop diuretics, such as hydrochlorothiazide, are also pre-ferred to thiazides when cardiac output is greatly reduced. This patient is displaying serious fluid overload and needs effective diuresis.
The nurse should not continue the hydrochlorothiazide, because it will not be effective with this patient, who has a low GFR.
Spironolactone (Aldactone) will not be as effective as a loop diuretic, and nothing indicates that the patient has a low potassium level.
Hydrating the patient would only worsen the fluid overload.
Answer to Question 2
c
Pitting Edema Grading Scale
The nervous system is described as having two interconnected divisions: the central nervous system (
pitting edema
Three patterns of axonal regeneration in mammalian peripheral nerves.
Gingival enlargement in a patient taking nifedipine.
Ex vivo and in vivo gene therapy for a patient with a liver disorder