Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


options, keeping in mind the liquid nature of ileostomy drainage. If you had difficulty with this question, review the causes of fluid volume deficit.


PTS: 1 DIF: Level of Cognitive Ability: Analyzing REF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient- centered collaborative care (6th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Planning


15. The nurse is administering a dose of a prescribed diuretic to an assigned client. The nurse should monitor the client for hypokalemia as a side effect of therapy if the client has been receiving which of the following medications? 1. Spironolactone (Aldactone) 2. Bumetanide (Bumex) 3. Triamterene (Dyrenium) 4. Amiloride HCl (Midamor)


ANS: 2


Rationale: Bumetanide (Bumex) is a loop diuretic that places the client at risk for hypokalemia. The nurse would monitor this client carefully for signs of hypokalemia, monitor serum potassium levels, and encourage intake of high-potassium foods. The other medications listed are potassium-sparing diuretics.


Test-Taking Strategy: Recall the classifications of the various diuretics outlined in the options to answer this question. Remember that bumetanide is a loop diuretic. Review the risks of these medications and those medications that are potassium-sparing if you had difficulty with this question.


PTS: 1 DIF: Level of Cognitive Ability: Applying REF: Skidmore-Roth, L. (2010). 2010 Mosby’s nursing drug reference (23rd ed.). St. Louis: Mosby. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Implementation


16. The nurse is providing dietary teaching to a client receiving a potassium-sparing diuretic about foods that are low in potassium. The nurse should include which of the following on a list of foods that have low potassium content? 1. Apple 2. Carrots 3. Spinach 4. Avocado


ANS: 1 Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


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