A patient with a history of heart failure is prescribed torsemide. Which dietary modification should the nurse recommend?
Include foods rich in potassium in the diet.
Increase calcium-rich foods.
Restrict fluid intake to 500 mL/day.
Restrict foods rich in potassium in the diet.
The Correct Answer is A
(A) Include foods rich in potassium in the diet: Torsemide is a loop diuretic, which increases potassium excretion and may cause hypokalemia, requiring potassium supplementation.
(B) Increase calcium-rich foods: Torsemide primarily affects potassium, not calcium.
(C) Restrict fluid intake to 500 mL/day: Fluid restrictions may be necessary in severe heart failure, but 500 mL/day is too restrictive unless specifically indicated.
(D) Restrict foods rich in potassium in the diet: Torsemide causes potassium loss, not retention, so restricting potassium would worsen hypokalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Diabetes Insipidus:
- Polyuria: ADH deficiency/resistance causes excessive urine output.
- Hypernatremia: Excessive water loss leads to high serum sodium levels.
- Dilute Urine: The kidneys cannot concentrate urine without ADH.
SIADH:
- Decreased Urine Output: Excess ADH leads to water retention and decreased urination.
- Hyponatremia: Water retention dilutes sodium levels.
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