The primary care NP is preparing to prescribe a diuretic for a patient who has heart failure. The patient reports having had an allergic reaction to sulfamethoxazole-trimethoprim (Bactrim) previously. The NP should prescribe:
a. ethacrynic acid.
b. furosemide (Lasix).
c. acetazolamide (Diamox).
d. hydrochlorothiazide (HydroDIURIL).
A
Patients who are allergic to sulfa drugs should avoid diuretics that are sulfonamide derivatives. Ethacrynic acid is the only choice that is not a sulfonamide derivative.
You might also like to view...
The nurse is aware that patients who have chronic gastritis from renal failure may present with the first sign of this disorder as:
a. an increase in the WBC count. b. sudden massive hemorrhage. c. asthma-like symptoms. d. extreme dyspnea.
The nurse is reviewing the x-ray report for a patient experiencing spinal and major joint discomfort. Which findings suggest to the nurse that the patient will be treated for Paget disease?
Select all that apply. 1. linear fractures 2. radiolucent bands 3. increased bone thickness 4. mosaic pattern of bone matrix 5. punched out appearance of bone
The mother who is bottle-feeding her 5-day-old baby says the baby spits up at the end of every feeding
The nurse questions the mother on how she is feeding the baby, and the mother says she puts the bottle in the baby's mouth, holds the baby with the head elevated, and gives the newborn 1-2 ounces until he seems satisfied. The nurse would advise the mother to: A) feed the baby less formula. B) have the baby evaluated for possible problems. C) burp the baby well halfway through the feeding and at the end of the feeding. D) change formula.
Which statement by the patient indicates that the teaching has been effective for a patient scheduled for radiation therapy of the larynx?
a. "I will need to buy a water bottle to carry with me." b. "I should not use any lotions on my neck and throat." c. "Until the radiation is complete, I may have diarrhea." d. "Alcohol-based mouthwashes will help clean oral ulcers."