Diuretic Medication Nursing Guide

A patient taking thiazide diuretics is prescribed a medication that inhibits calcium reabsorption in the kidneys. What potential electrolyte imbalance should the nurse monitor for, considering the combined effects?

An elderly patient with a history of gout is started on a thiazide diuretic for hypertension. What specific dietary advice should the nurse provide, considering the patient's medical history and medication?

A patient on loop diuretics is also receiving an aminoglycoside antibiotic. Recognizing the ototoxic potential of both medications, what is the most important nursing intervention?

A patient is prescribed spironolactone for heart failure. What assessment finding would be most concerning and warrant immediate communication with the healthcare provider?

A patient with glaucoma is prescribed a carbonic anhydrase inhibitor. What specific instruction should the nurse provide to ensure the patient understands the potential impact on their respiratory status, especially if they have COPD?

A patient receiving mannitol intravenously for cerebral edema develops signs of heart failure. What is the most likely reason for this adverse reaction?

Which intervention is most important for a nurse to implement when administering intravenous mannitol to a patient with increased intracranial pressure (ICP)?

A patient on thiazide diuretics reports muscle cramps and weakness. Which laboratory value should the nurse prioritize reviewing to determine the cause of these symptoms?

A patient with a known allergy to sulfonamides is prescribed a diuretic. Which diuretic class should the nurse be most cautious about administering?

A patient taking spironolactone develops gynecomastia. Which of the following mechanisms best explains this side effect?

A patient with heart failure is prescribed both a loop diuretic and an ACE inhibitor. What electrolyte imbalance is the patient most at risk for developing?

An older adult patient is started on a potassium-sparing diuretic. Which assessment finding would warrant immediate discontinuation of the medication?

A patient on diuretic therapy is being monitored for dehydration. Which of the following is the most reliable indicator of fluid volume status?

A patient with cirrhosis and ascites is prescribed spironolactone. What is the primary rationale for using this specific diuretic in this patient population?

A patient is taking both a loop diuretic and digoxin. The nurse knows that hypokalemia can potentiate digoxin toxicity. What assessment finding would suggest digoxin toxicity in this patient?

A patient on long-term diuretic therapy is at risk for metabolic alkalosis. Which diuretic is most likely to cause this imbalance?

A patient with a history of heart failure is prescribed mannitol for increased intracranial pressure. What assessment is crucial to monitor for a potential adverse effect?

The nurse is caring for a patient receiving acetazolamide. What acid-base imbalance is the patient most at risk for developing?

A patient is started on a thiazide diuretic. What specific instruction should the nurse provide regarding the timing of medication administration?

A patient on a potassium-sparing diuretic is prescribed an ACE inhibitor. What is the most important nursing intervention to prevent adverse effects?