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Chapter 32: Diuretics Test Bank

Chapter 32: Diuretics Test Bank

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Chapter 32: Diuretics
Test Bank
MULTIPLE CHOICE
1.   A patient develops hypertension. The primary care nurse practitioner (NP) plans to begin diuretic therapy for this patient. The NP notes clear breath sounds, no organomegaly, and no peripheral edema. The patient’s serum electrolytes are normal. The NP should prescribe:
a.

furosemide (Lasix).

b.

triamterene (Dyrenium).

c.

acetazolamide (Diamox).

d.

hydrochlorothiazide (HydroDIURIL).

2.   A patient takes hydrochlorothiazide to treat hypertension and asks the primary care NP why it is necessary to reduce sodium intake while taking this medication. The NP should explain that decreasing sodium is necessary to:
a.

prevent renal insufficiency.

b.

minimize the risk of hypokalemia.

c.

prevent postdiuretic sodium retention.

d.

increase the likelihood that the drug may be discontinued.

3.   A patient with congestive heart failure will begin therapy with a diuretic medication. The primary care NP orders laboratory tests, which reveal a glomerular filtration rate (GFR) of 25 mL/minute. The initial drug the NP should prescribe is:
a.

metolazone.

b.

furosemide (Lasix).

c.

spironolactone (Aldactone).

d.

hydrochlorothiazide (HydroDIURIL).

4.   A patient who has congestive heart failure and arthritis has been taking chlorthalidone (Zaroxolyn) 25 mg daily for 6 months. The primary care NP notes a persistent blood pressure of 145/90 mm Hg. The NP should:
a.

ask the patient which medications are used for pain.

b.

add furosemide (Lasix) to the patient’s drug regimen.

c.

increase the dose of chlorthalidone to 100 mg daily.

d.

recommend that the patient use salt substitutes to season foods.

5.   The primary care NP is preparing to prescribe a diuretic for a patient who has heart failure. The patient reports having had an allergic reaction to sulfamethoxazole-trimethoprim (Bactrim) previously. The NP should prescribe:
a.

ethacrynic acid.

b.

furosemide (Lasix).

c.

acetazolamide (Diamox).

d.

hydrochlorothiazide (HydroDIURIL).



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