A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Aquazide)
3. Spironolactone (Aldactone)
4. Mannitol (Osmitrol)
1
Rationale 1: Furosemide (Lasix) is the diuretic used to aid in excretion of calcium.
Rationale 2: Thiazide diuretics (like hydrochlorothiazide) decrease calcium excretion and should not be given to the hypercalcemic client.
Rationale 3: Spironolactone (Aldactone) is a potassium-sparing diuretic. While there is a net increase in calcium in the urine, it is not as effective an option as furosemide.
Rationale 4: Mannitol (Osmitrol) is a diuretic used to decrease cerebral edema and is not routinely used to aid in excretion of calcium.
Global
You might also like to view...
The ability to continue the employment of qualified individuals, that is, nurses and/or other health care providers/associates who might otherwise leave the organization is called:
a. transfer. b. selection. c. turnover. d. retention.
What corresponds to a 5-year-old child's understanding of death?
a. Loss of a caretaker b. Reversible and temporary c. Permanent d. Inevitable
The student sitting in class waiting for the final examination develops nausea and excessive gas. What is a probable cause of these symptoms?
a. Increase in the blood glucose level b. Increase in heart rate c. Reduction of peristalsis d. Decrease in adrenalin
A nurse learns before work that a close family member has been diagnosed with a serious disease. Arriving at work, the nurse finds the family member has been assigned as a client and is very demanding and complains a lot. The nurse would:
1. Resolve to refrain from reacting negatively to the client. 2. Tell the client to change the behavior. 3. Discuss the situation with the charge nurse. 4. Ask the doctor to help control the client.