Understanding-Pharmacology-Essentials-for-Medication-Safety-2nd-Edition-by-Workman-Test-Bank.pdf

Chapter 15: Drugs That Affect Urine Output MULTIPLE CHOICE BASIC CONCEPTS 1. What is the main intended action of any type of diuretic drug? a. Weight loss b. Potassium loss c. Increased urine output d. Decreased sense of thirst ANS: C Diuretics are drugs that help rid the body of excess water and sodium by increasing a person’s urine output. They may work on the kidneys directly or may increase blood flow to the kidney. Either way, these drugs cause a person to urinate more and lose water from TEST BANK FOR UNDERSTANDING PHARMACOLOGY ESSENTIALS FOR MEDICATION SAFETY 2ND EDITION BY WORKMAN the body. Although potassium is often lost with a diuretic that is not a diuretic’s main intended action. DIF: Cognitive Level: Remembering REF: p. 239 2. For which complication should you remain alert when a patient is taking any type of diuretic? a. Loss of appetite b. Bladder spasms c. Hypertension d. Dehydration ANS: D Any type of diuretic increases water loss through urination. This water loss can cause dehydration if a patient’s fluid intake does not keep pace with his or her urine output. DIF: Cognitive Level: Remembering REF: pp. 240-241 3. What is the most common health problem treated by diuretic drugs? a. High blood pressure b. Tongue swelling c. Constipation d. Obesity ANS: A Diuretics are used most often to treat problems when the body is retaining too much water, too much sodium, or too much potassium. They are often prescribed for people who have the following health problems: high blood pressure (hypertension), heart failure, kidney disease, and liver disease (cirrhosis). DIF: Cognitive Level: Remembering REF: p. 241 4. Which type of diuretic can cause higher than normal blood calcium levels? a. Loop diuretics b. Osmotic diuretics c. Thiazide diuretics d. Potassium-sparing diuretics ANS: C Potential side effects of thiazide diuretics include fluid and electrolyte imbalances such as decreased blood volume, decreased potassium (hypokalemia), decreased sodium (hyponatremia), decreased chloride (hypochloremia), and decreased magnesium (hypomagnesemia), along with increased calcium (hypercalcemia) and increased urea (hyperuremia). DIF: Cognitive Level: Remembering REF: p. 243 5. Which class of diuretics is the most powerful? a. Loop diuretics b. Osmotic diuretics c. Thiazide diuretics d. Potassium-sparing diuretic