What statement by the client indicates that the client understands the nurse's teaching about diuretics?
"I will weigh myself daily and report significant changes in weight."
"If my leg gets swollen again, I'll be sure to take an additional pill."
"I will take my medication before bedtime."
"I will have to limit my high sugar foods."
The Correct Answer is A
A) "I will weigh myself daily and report significant changes in weight":
This statement demonstrates an understanding of the nurse's teaching about diuretics. Diuretics are medications that promote diuresis, leading to increased urine output and fluid loss. Monitoring weight daily can help the client identify fluid retention or volume overload, which are common concerns in individuals taking diuretics. Significant changes in weight, such as sudden increases, may indicate fluid retention or worsening heart failure and should be reported to the healthcare provider promptly for further evaluation.
B) "If my leg gets swollen again, I'll be sure to take an additional pill":
This statement indicates a misunderstanding of the nurse's teaching. Taking an additional pill without healthcare provider guidance can lead to medication overdose and potential adverse effects. It's important for clients to follow the prescribed dosage regimen and consult their healthcare provider before making any changes to their medication regimen.
C) "I will take my medication before bedtime":
While taking diuretics before bedtime may be appropriate for some individuals, it is not a universal recommendation. The timing of diuretic administration can vary depending on the specific type of diuretic prescribed, the client's individual needs, and the presence of any coexisting conditions. Therefore, this statement does not necessarily indicate an understanding of the nurse's teaching about diuretics.
D) "I will have to limit my high sugar foods":
This statement does not directly relate to the nurse's teaching about diuretics. While dietary modifications may be necessary for certain health conditions, such as diabetes, they are not specifically related to the mechanism of action or management of diuretic therapy. Therefore, this statement does not demonstrate an understanding of the nurse's teaching about diuretics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the correct response. ACE inhibitors are known to cause a persistent, dry, and irritating cough in some individuals. This adverse effect occurs due to the accumulation of bradykinin and other substances in the lungs, leading to increased sensitivity of the cough reflex. The cough typically resolves upon discontinuation of the ACE inhibitor.
B) Respiratory depression:
Respiratory depression is not a common side effect of ACE inhibitors. ACE inhibitors do not directly affect respiratory drive or function in the central nervous system. Therefore, this option is incorrect.
C) Spontaneous pneumothorax:
Spontaneous pneumothorax is not a typical adverse effect associated with ACE inhibitor use. ACE inhibitors do not directly cause the development of pneumothorax, which is characterized by the presence of air in the pleural space. Therefore, this option is incorrect.
D) Pneumonia:
While ACE inhibitors can increase the risk of respiratory infections due to their effect on the immune system, pneumonia is not a specific adverse effect associated with ACE inhibitor use. Pneumonia is typically caused by infectious agents such as bacteria, viruses, or fungi, rather than being a direct effect of ACE inhibitors. Therefore, this option is incorrect.”
Correct Answer is A
Explanation
A) STAT administration of atropine:
This is the correct answer. Atropine is a cholinergic antagonist that can increase heart rate by blocking the action of acetylcholine on cardiac muscarinic receptors. In cases of severe bradycardia, especially if associated with symptoms such as dizziness, syncope, or hypotension, atropine is often administered to increase heart rate and improve cardiac output. The dose of atropine and frequency of administration depend on the severity of bradycardia and the clinical response.
B) Administration of activated charcoal:
Activated charcoal is used in cases of overdose or poisoning to absorb ingested toxins and prevent their absorption into the bloodstream. However, in this scenario, where the primary concern is bradycardia resulting from cholinesterase inhibitor (donepezil) toxicity, activated charcoal would not be effective in reversing the bradycardic effects of the medication.
C) Hemodialysis:
Hemodialysis is a renal replacement therapy used to remove toxins and waste products from the blood in individuals with kidney failure. While hemodialysis may be indicated in cases of severe drug overdose or poisoning to enhance toxin elimination, it is not typically used as a first-line intervention for bradycardia associated with cholinesterase inhibitor toxicity.
D) Intravenous administration of pseudoephedrine:
Pseudoephedrine is a sympathomimetic drug that acts as a vasoconstrictor and can increase heart rate and blood pressure. While it may be used to treat bradycardia in some cases, such as severe symptomatic bradycardia unresponsive to atropine, it is not the first-line treatment for cholinesterase inhibitor toxicity-induced bradycardia. Atropine is preferred due to its direct antagonism of muscarinic receptors in the heart.
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