A client prescribed bumetanide (Bumex) asks the nurse, "What is all this about 'loops' in my medicine?" Which response by the nurse is the most appropriate?
1. "This medication reabsorbs potassium in Henle's loop in your kidney."
2. "This medication blocks sodium reabsorption in what is known as Bowman's capsule."
3. "This is a loop diuretic, which refers to the location where it acts in your kidneys."
4. "This is a loop diuretic, which means it works in the proximal tubule of your kidney."
Correct Answer: 3
Rationale 1: Bumetanide (Bumex) causes potassium excretion.
Rationale 2: Bumetanide (Bumex) does not work at the level of Bowman's capsule.
Rationale 3: Bumetanide (Bumex) promotes sodium loss at Henle's loop, which leads to diuresis.
Rationale 4: Bumetanide (Bumex) works at the level of Henle's loop.
Global Rationale: Bumetanide (Bumex) promotes sodium loss at Henle's loop, which leads to diuresis. Bumetanide (Bumex) causes potassium excretion. Bumetanide (Bumex) does not work at the level of Bowman's capsule. Bumetanide (Bumex) works at the level of Henle's loop.
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