A nurse is caring for a client that will receive a diuretic.
Which of the following diuretics act on the distal tubule?
Furosemide.
Spironolactone.
Mannitol.
Hydrochlorothiazide.
The Correct Answer is D
Choice A rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle, not the distal tubule.
Choice B rationale
Spironolactone is a potassium-sparing diuretic that works on the collecting ducts and late distal tubules, not the distal tubule.
Choice C rationale
Mannitol is an osmotic diuretic that acts on the proximal tubule and the descending limb of the loop of Henle, not the distal tubule.
Choice D rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, making it the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Sucralfate (Carafate) acts by forming a viscous, adhesive substance that binds to the ulcer site, creating a physical barrier protecting it from stomach acid and allowing healing.
Choice A rationale
Sucralfate does not function as an endogenous prostaglandin; it does not mimic or enhance prostaglandin activity in the GI tract.
Choice C rationale
Sucralfate does not neutralize gastric acid; that is the function of antacids.
Choice D rationale
Sucralfate does not antagonize H2 receptors on parietal cells; H2 receptor antagonists are a different class of medication.
Correct Answer is A
Explanation
Choice A rationale
Metformin is an oral diabetes medication that can interact with iodine-containing contrast dye, potentially leading to lactic acidosis.
Choice B rationale
Levothyroxine is used to treat hypothyroidism and does not interact with iodine-containing contrast dye.
Choice C rationale
Insulin Lispro is a rapid-acting insulin used to control blood sugar levels in diabetes and does not interact with iodine-containing contrast dye.
Choice D rationale
NPH Insulin is an intermediate-acting insulin used to control blood sugar levels and does not interact with iodine-containing contrast dye.
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