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 A
Explanation
Choice A rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps lower blood pressure by relaxing blood vessels. It is often prescribed for clients who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors like Captopril or Lisinopril due to side effects such as a persistent cough.
Choice B rationale
Digoxin is a medication primarily used to treat heart failure and atrial fibrillation. It is not typically prescribed for the management of hypertension as it does not directly lower blood pressure.
Choice C rationale
Captopril is an ACE inhibitor that can cause a persistent cough in some patients. Since the client has experienced this side effect, it is unlikely that Captopril would be prescribed again.
Choice D rationale
Lisinopril is another ACE inhibitor, similar to Captopril. Given the client's history of a cough caused by ACE inhibitors, Lisinopril is also not a suitable option.
Correct Answer is B
Explanation
Choice A rationale
Benztropine is an anticholinergic agent used to treat Parkinsonism and extrapyramidal symptoms, not suitable for reversing heparin effects.
Choice B rationale
Protamine sulfate is the specific antidote for heparin overdose. It works by neutralizing the anticoagulant effects of heparin.
Choice C rationale
Vitamin K is an antidote for warfarin overdose, promoting the synthesis of clotting factors, but ineffective against heparin.
Choice D rationale
Digibind is an antidote for digoxin toxicity, not appropriate for counteracting heparin.
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