A child is admitted to the hospital for hypercalcemia, and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
1. Hydrochlorothiazide (Aquazide)
2. Spironolactone (Aldactone)
3. Furosemide (Lasix)
4. Mannitol (Osmitrol)
3
Rationale:
1. Thiazide diuretics (hydrochlorothiazide) decrease calcium excretion, and should not be given to the hypercalcemic client.
2. Spironolactone (Aldactone) is a potassium-sparing diuretic, and would not be effective for excretion of calcium.
3. Furosemide (Lasix) is the diuretic used to aid in excretion of calcium.
4. Mannitol (Osmitrol) is a diuretic used to decrease cerebral edema, and is not routinely used to aid in excretion of calcium.
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