Some NCLEX RN Practice Questions focus on cultural competence, highlighting the importance of providing patient-centered care.
NCLEX Diuretic Drugs Medication Questions - NCLEX Questions on Diuretic Drugs
Diuretic Drugs Medication NCLEX Practice Questions
Question 1.
A 37-year-old woman is diagnosed with pregnancy-induced hypertension and is prescribed a diuretic to help control her blood pressure. The healthcare provider prescribes a thiazide diuretic. The patient has a history of lithium use for bipolar disorder and is concerned about the safety of taking the diuretic.
Which of the following is a common side effect of thiazide diuretics?
(a) Ototoxicity
(b) Hyponatremia
(c) Hyperglycemia
(d) Hypokalemia
Answer:
(b) Hyponatremia
Explanation:
Thiazide diuretics work by increasing the excretion of sodium and water from the body. As a result, they can cause electrolyte imbalances, including hyponatremia. It is important for patients taking thiazide diuretics to have their electrolyte levels monitored regularly to ensure they are within normal ranges. In addition, patients should be advised to drink plenty of fluids to prevent dehydration and electrolyte imbalances.
Mrs. Ranjan is a 35-year-old pregnant woman who has been diagnosed with pregnancy-induced hypertension. Her healthcare provider has prescribed a loop diuretic, furosemide, to help control her blood pressure. Mrs. Ranjan has been taking the medication as directed, but she has noticed that she has been feeling very dizzy and lightheaded whenever she stands up. She has also noticed that her urine is a darker color than usual and she is experiencing muscle cramps.
Question 2.
Which of the following is a common side effect of loop diuretics such as furosemide?
(a) Hypokalemia
(b) Hyponatremia
(c) Hyperglycemia
(d) Thrombocytopenia
Answer:
(a) Hypokalemia
Explanation:
Loop diuretics work by inhibiting the reabsorption of sodium and chloride in the nephron, which helps to increase the excretion of these electrolytes and water from the body. However, this can also lead to imbalances of other electrolytes, such as potassium, magnesium, and calcium. Hypokalemia, or low potassium levels, is a common side effect of loop diuretics and can cause symptoms such as dizziness, lightheadedness, and muscle cramps.
It is important for healthcare providers to closely monitor electrolyte levels in patients taking these medications and to adjust the dosage or use of other medications as needed to prevent or manage electrolyte imbalances.
Question 3.
A pregnant woman has been diagnosed with pregnancy- induced hypertension and is prescribed a diuretic to help manage her blood pressure. The healthcare provider prescribes furosemide, a loop diuretic. The patient takes the medication as prescribed and experiences an increase in urine output, but also notices some ringing in her ears and a decrease in her potassium levels.
Which of the following side effects of loop diuretics could the patient be experiencing?
(a) Hyponatremia
(b) Hypokalemia
(c) Dehydration
(d) Ototoxicity
Answer:
To solve this question, we need to review the information provided about loop diuretics and their potential side effects.
Explanation:
Ototoxicity is a known side effect of loop diuretics, specifically furosemide, and can cause ringing in the ears and hearing loss. Loop diuretics can also cause electrolyte imbalances, such as hyponatremia and hypokalemia, as well as dehydration due to the increased urine output. It is important for healthcare providers to monitor patients taking loop diuretics for these potential side effects and make adjustments to the treatment plan as needed.
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