The nurse is caring for a client admitted to the medical–surgical unit with hypervolemia that has resulted from renal failure. Which medications does the nurse anticipate will be prescribed for this client based on the diagnosis?
Standard Text: Select all that apply.
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Microzide)
3. Epoetin alfa (Procrit)
4. Polystyrene sulfate (Kayexalate)
5. Sodium bicarbonate
Correct Answer: 1,2
Rationale 1: Loop diuretics are often given to treat the hypervolemia that accompanies renal failure.
Rationale 2: Thiazide diuretics are often given to treat the hypervolemia that accompanies renal failure.
Rationale 3: Epoetin alfa (Procrit) is used to treat anemia, not hypervolemia, associated with renal failure.
Rationale 4: Polystyrene sulfate (Kayexalate) is used to treat hyperkalemia, not hypervolemia, associated with renal failure.
Rationale 5: Sodium bicarbonate is used to treat the acidosis, not hypervolemia, associated with renal failure.
Global Rationale: Loop and thiazide diuretics are often given to treat the hypervolemia that accompanies renal failure. Epoetin alfa (Procrit) is used to treat anemia, not hypervolemia, associated with renal failure. Polystyrene sulfate (Kayexalate) is used to treat hyperkalemia, not hypervolemia, associated with renal failure. Sodium bicarbonate is used to treat the acidosis, not hypervolemia, associated with renal failure.
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