A patient has just been prescribed furosemide (Lasix). After ...

[iveyjurea]

A patient has just been prescribed furosemide (Lasix). After reviewing the patient's medication history, what drug would cause the nurse concern when taken with furosemide (Lasix)?
 
  A) Acetaminophen
  B) Ferrous sulfate (Feosol)
  C) Naproxen sodium (Naprosyn)
  D) Ampicillin

Question 2

A patient has just begun to take a prescribed diuretic. Why would the nurse tell the patient to drink 8 to 10 glasses of water daily (unless it is counterindicated)?
 
  A) To decrease the action of the reninangiotensin cycle
  B) To make more concentrated plasma
  C) To dilute the urine
  D) To avoid rebound edema

[joanwhite]

Answer to Question 1

C
Feedback:
Naproxen sodium is a nonsteroidal antiinflammatory drug. There may also be a decreased loss of sodium and decreased antihypertensive effects if these drugs are combined with indomethacin, ibuprofen, salicylates, or other nonsteroidal antiinflammatory drugs. The patient receiving this combination should be monitored closely and appropriate dosage adjustments should be made. There is no contraindication to the intercurrent use of acetaminophen, ferrous sulfate, or ampicillin.

Answer to Question 2

D
Feedback:
Care must be taken when using diuretics to avoid fluid rebound, which is associated with fluid loss. If a patient stops taking in water and takes the diuretic, the result will be a concentrated plasma of smaller volume. The decreased volume is sensed by the nephrons, which activate the renin-angiotensin cycle. When concentrated blood is sensed by the osmotic center in the brain, antidiuretic hormone (ADH) is released to retain water and dilute the blood. The result can be rebound edema as fluid is retained. Drinking 8 to 10 glasses of water will not decrease the action of the renin-angiotensin cycle, or make plasma more concentrated. It may produce urine that is dilute but that is not the reason it is recommended.

[iveyjurea]

Thanks for the timely response, appreciate it

[komodo7]

Gracias!