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Chapter 15 MindTap Assignments & Quiz

Terms in this set (31)

Hydrocholothiazide, Metolzone, Zaroxolyn
Thiazide
Furosemide
Loop
Spironolactone
Potassium sparing
Mannitol
Osmotic agent
Bumetanide
Loop
Medications to treat gout include _______________ agents and allopurinol.
uricosuric
Uricosuric agents act on the kidney by blocking _____________ and thereby promoting urinary excretion of uric acid.
reabsorption
Allopurinol acts by decreasing serum and ____________ levels of uric acid.
urinary
During acute attacks of gout, the probenecid dosage is supplemented with ___________ , which has anti-inflammatory action.
colchicine
Anticholinergic drugs used to reduce the strength and contractions of the urinary bladder are known as ____________
anti-spasmodics
Drugs such as tolterodine (Detrol) and oxybutynin are used to relieve symptoms such as urgency, frequency, , and incontinence.
...
The MOST frequent side effect of antispasmodic drugs is __________________ of all secretions, especially eyes and mouth.
drying
The drug that has been called the "pharmacological catheterization" is ______________________ .
Bethanectol
Clients who take phenazopyridine should be instructed that their urine will turn _______________ .
red
Tamsulosin (Flomax) is a(n) ______________________ used to treat symptoms of benign prostatic hyperplasia.
alpha-blocker
Health care practitioners who are pregnant should not handle antiandrogens, because they may cause _____________ damage.
fetal
How can a health care practitioner describe the action of a thiazide diuretic to a client?
a. It works on the ascending loop of Henle.
b. It works in the distal duct renal tubules to promote water and electrolyte excretion.
c. It works on the distal tubules of the kidneys, causing increased excretion of water, sodium, chloride, and potassium.
d. It increases the concentration of the plasma and fluid in the renal tubules.
Answer : C
What side effect of diuretic therapy should the client be told to watch out for that can lead to a life-threatening emergency?
a. Constipation
b. Low blood pressure
c. Muscle weakness or leg cramps
d. Lethargy
Answer : C
Which of the following is a life-threatening side effect associated with diuretic therapy?
a. Peptic ulcers
b. Hypoxia
c. Kidney stones
d. Cardiac arrhythmias
Answer : D
An older adult client is started on hydrochlorothiazide diuretic for peripheral edema of the legs. What preventive measure should the health care practitioner instruct his client to take?
a. Weigh yourself once a week.
b. Eat a piece of fruit every day.
c. Take regularly in the morning at the same time.
d. Rise slowly out of a sitting position.
Answer : D
Which of the following could be a contraindication to prescribing a thiazide diuretic?
a. Mild renal disease
b. Pulmonary fibrosis
c. Sulfa allergy
d. Ulcer disease
Answer : C
A client asks what foods are rich in potassium. How does the health care practitioner respond?
a. Bananas
b. Nuts
c. Dairy products
d. Meat
Answer : A
Furosemide (Lasix) is what type of diuretic?
a. Loop diuretic
b. Osmotic diuretic
c. Thiazide diuretic
d. Potassium-sparing diuretic
Answer : A
Drug interactions can pose a potential risk for a client taking diuretic therapy. How can a health care practitioner BEST explain this interaction to a client taking a diuretic and digoxin for a trial fibrillation?
a. The digoxin is more powerful and weakens the effect of the diuretic.
b. The hypokalemia associated with the diuretic causes digoxin toxicity.
c. They are similar drugs, and the diuretic enhances the effect of the digoxin.
d. There is no interaction between the two drugs.
Answer : B
Clients who are at high risk of hypokalemia are often prescribed which type of diuretic?
a. Osmotic
b. Thiazide
c. Loop
d. Potassium-sparing
Answer : D
How does the health care practitioner explain the action of probenecid?
a. It promotes urinary excretion of uric acid.
b. It neutralizes uric acid to allow for excretion.
c. It blocks uric acid from building up.
d. It stops purines from getting into your system.
Answer : A
A client taking probenecid, a uricosuric agent, is cautioned regarding his use of any other medications due to the interactions. How does the health care practitioner explain to the client the use of this medication?
a. It is contraindicated with penicillin allergies.
b. It is safe with most medications and should be administered at night.
c. It makes the other drugs weaker and less therapeutic.
d. It inhibits renal excretion of many drugs, thereby increasing the level of the other drugs and prolonging their effect.
Answer : D
A client has urinary incontinence and is prescribed an antispasmodic medication, Detrol. What should the health care practitioner explain to her client?
a. You may crush the extended capsule in fruit to improve its taste.
b. Report any side effects, as the dose may need to be increased.
c. It may take several months to see an effect.
d. You may operate machinery while taking this medication.
Answer : C
Phenazopyridine, a urinary analgesic, is ordered for pain in a client with a urinary tract infection. What instruction can the health care practitioner share with her client regarding this medication?
a. Monitor for sweating and increased salivation.
b. It is contraindicated with sulfa allergy.
c. Your urine will appear an orange-reddish color while you are taking this.
d. It is considered a long-term treatment.
Answer : C
A 65-year-old client is being treated for benign prostate hyperplasia (BPH). The client has been started on Proscar, an antiandrogen medication. What potential side effects of this medication can the health care practitioner review with the client?
a. Impotence, decreased libido, and decreased ejaculate
b. Palpitations, dizziness, and nasal congestion
c. Incontinence and pain
d. Nausea, vomiting, and diarrhea
Answer : A
An alpha-blocker, Flomax, is prescribed to a client with benign prostate hyperplasia (BPH). The client asks if this drug will improve his frequent runs to the bathroom. How should the health care practitioner respond?
a. It will lower your PSA levels.
b. It should improve your symptoms, as it relaxes the smooth muscle in the bladder neck and prostate, causing them to relax.
c. Its antiandrogen effect may temporarily increase the prostate size.
d. Surgery is the only viable option to treat this condition.
Answer : B
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