What would the nurse anticipate if a patient with a history of ...

[appyboo]

What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic?
 
  a. No change in the antidiabetic regimen
  b. Decreased need for antidiabetic medication
  c. Increased blood sugar levels
  d. Less frequent monitoring of blood sugar level

Question 2

On admission, a patient with a history of cardiac insufficiency complains of shortness of breath. The nurse auscultates the lungs and notes bilateral crackles throughout both fields.
 
  In addition, there is bilateral +2 edema of the lower extremities. Which medication does the nurse anticipate that the health care provider will prescribe?
  a. Allopurinol (Zyloprim)
  b. Diphenhydramine (Benadryl)
  c. Mannitol
  d. Furosemide (Lasix)

[Loise Hard]

Answer to Question 1

ANS: C
The thiazides may induce hyperglycemia and aggravate cases of preexisting diabetes mellitus. Regular assessment for glycosuria is indicated. Dosages of oral hypoglycemics and insulin may need adjustment in patients with diabetes mellitus. Thiazides affect glucose metabolism, and the patient should change her regimen to accommodate this. Thiazides have the opposite effect on glucose metabolism. More frequent monitoring is warranted when the patient is being treated with thiazide diuretics.

Answer to Question 2

ANS: D
Diuretics, such as furosemide, are the mainstays of treatment in heart failure and hypertension. Allopurinol is used to treat gout. Diphenhydramine is an antihistamine and is not used for diuresis. Mannitol is used mainly to treat cerebral edema.

[appyboo]

TYSM

[cam1229]

Gracias!