Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client is starting to take furosemide and asks the nurse. "When is the best time to take this medication?" What is the nurse's response?
A. 0800
Taking furosemide at 0800 is often recommended to promote diuresis during the day, allowing the client to manage fluid balance while awake and minimizing the need for frequent urination during the night.
B. 1900
Taking furosemide at 1900 may contribute to nocturnal diuresis, potentially affecting sleep.
C. 2200
Taking furosemide at 2200 is not ideal as it may lead to increased nighttime urination.
D. 1600
Taking furosemide at 1600 may not provide the optimal timing to balance diuretic effects throughout the day.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
a) Taking furosemide at 0800 is often recommended to promote diuresis during the day, allowing the client to manage fluid balance while awake and minimizing the need for frequent urination during the night.
b) Taking furosemide at 1900 may contribute to nocturnal diuresis, potentially affecting sleep.
c) Taking furosemide at 2200 is not ideal as it may lead to increased nighttime urination.
d) Taking furosemide at 1600 may not provide the optimal timing to balance diuretic effects throughout the day.
Similar Questions
A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?
A. "I will need to check my blood sugar once daily or more."
Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
B. "I should not take this medication if I have a sulfa allergy."
Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
C. "I will begin by taking this once daily with breakfast."
Taking glipizide once daily with breakfast is a reasonable dosing schedule.
D. "I may continue to have a glass of wine with dinner."
Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
Full Explanation
a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.
d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?
A. "I will rise slowly from lying to sitting, to standing."
Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
B. "I will elevate my legs if edema occurs."
Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
C. "I will take the medication with grapefruit juice.”
Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
D. "I can limit my risk for constipation by increasing fluid and fiber."
Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
Full Explanation
a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?
A. Vitamin D levels
Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.
B. Liver function tests
Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.
C. Serum electrolytes
Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.
D. Tuberculin skin test
A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.
Full Explanation
a) Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.
b) Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.
c) Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.
d) A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.