N180 MIDTERM STUDY GUIDE EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
Furosemide (Lasix) education
Teach pts:
- Take diuretics in the morning
~Prevent nocturia - sleep disruption
- Change positions slowly
- Monitor weight
- Do not use if allergic to sulfa-based meds
- IF ordered, take potassium supplements and consume potassium-rich foods
What are some potassium- rich foods
Citrus fruits/juices, fish (Tuna, salmon), potatoes, bananas, green leafy vegetables, dried
fruits/beans, mangoes, cantaloupe, honeydew melon, avocados
Alendronate (Fosamax) medication teaching?
- Take on an empty stomach with full glass of plain water, preferably 2 hours before breakfast
- After discontinuing the drug, Therapeutic effects remain increased for up to 1 year
- Spend 15- 20 minutes in the sun on most days
- DO NOT lie down for at least 30 minutes after taking the medication
- It is irritating to the esophagus
Can cause heartburn: REPORT TO PROVIDER
- Wait 2 hours after admin before taking calcium products, mineral supplements, or ANTACIDS
-Perform weight-bearing exercises daily
- If dose is missed, wait until the next day, do not take 2 together
Spironolactone (Aldactone) medication teaching.
- Avoid use of potassium-based salt substitutes
- When in direct sunlight, use sunscreen
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, - Avoid performing tasks that require mental alertness
- DO NOT eat excess amounts of food high in potassium: AVOID IF POSSIBLE
-Do NOT drink grapefruit juice due to CYP3A4 enzyme
Potassium chloride (KCL) administration through NG tube
- Dilute liquid forms before giving PO or through an NG TUBE
- Administer slowly
Most importantly, when caring for a client with renal disease, critical thinking?
- Pts Usually includes a history of diabetes or hypertension
- Dietary management: restriction of protein, reduction of sodium, potassium, phosphorus,
magnesium
-IMPORTANT SAFETY PRECAUTION: Require less than average doses of medication
Medications are not recommended to use with diuretic therapy critical thinking.
Lithium or digoxin
- laxatives
- NSAIDs
Colchicine (Colcrys) medication teaching
-Take oral meds with food or after meals
- Take antidiarrheal as prescribed
- Notify the provider if bleeding, bruising, or sore throat occur
- Avoid grapefruit juice because it can increase adverse effects
- Avoid alcohol, red meats
- Ensure adequate water intake, and exercise regularly
Client teaching about food to DECREASE gout attacks critical thinking.
DECREASE: low fat dairy products (milk & yogurt), Fruits and veggies (cherries), whole grains,
eggs and nuts
What foods INCREASE the risk of gout attacks
INCREASE: organ meats, sardines, salmon, gravy, herring, liver, meat soups, and alcohol
(especially beer)
Cushing syndrome from long-term steroid therapy critical therapy
Only use steroids for 1-3 weeks.
(Prednisone)
RA symptoms critical thinking
- A systemic autoimmune disorder characterized by disfigurement and inflammation of multiple
joints
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
Furosemide (Lasix) education
Teach pts:
- Take diuretics in the morning
~Prevent nocturia - sleep disruption
- Change positions slowly
- Monitor weight
- Do not use if allergic to sulfa-based meds
- IF ordered, take potassium supplements and consume potassium-rich foods
What are some potassium- rich foods
Citrus fruits/juices, fish (Tuna, salmon), potatoes, bananas, green leafy vegetables, dried
fruits/beans, mangoes, cantaloupe, honeydew melon, avocados
Alendronate (Fosamax) medication teaching?
- Take on an empty stomach with full glass of plain water, preferably 2 hours before breakfast
- After discontinuing the drug, Therapeutic effects remain increased for up to 1 year
- Spend 15- 20 minutes in the sun on most days
- DO NOT lie down for at least 30 minutes after taking the medication
- It is irritating to the esophagus
Can cause heartburn: REPORT TO PROVIDER
- Wait 2 hours after admin before taking calcium products, mineral supplements, or ANTACIDS
-Perform weight-bearing exercises daily
- If dose is missed, wait until the next day, do not take 2 together
Spironolactone (Aldactone) medication teaching.
- Avoid use of potassium-based salt substitutes
- When in direct sunlight, use sunscreen
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, - Avoid performing tasks that require mental alertness
- DO NOT eat excess amounts of food high in potassium: AVOID IF POSSIBLE
-Do NOT drink grapefruit juice due to CYP3A4 enzyme
Potassium chloride (KCL) administration through NG tube
- Dilute liquid forms before giving PO or through an NG TUBE
- Administer slowly
Most importantly, when caring for a client with renal disease, critical thinking?
- Pts Usually includes a history of diabetes or hypertension
- Dietary management: restriction of protein, reduction of sodium, potassium, phosphorus,
magnesium
-IMPORTANT SAFETY PRECAUTION: Require less than average doses of medication
Medications are not recommended to use with diuretic therapy critical thinking.
Lithium or digoxin
- laxatives
- NSAIDs
Colchicine (Colcrys) medication teaching
-Take oral meds with food or after meals
- Take antidiarrheal as prescribed
- Notify the provider if bleeding, bruising, or sore throat occur
- Avoid grapefruit juice because it can increase adverse effects
- Avoid alcohol, red meats
- Ensure adequate water intake, and exercise regularly
Client teaching about food to DECREASE gout attacks critical thinking.
DECREASE: low fat dairy products (milk & yogurt), Fruits and veggies (cherries), whole grains,
eggs and nuts
What foods INCREASE the risk of gout attacks
INCREASE: organ meats, sardines, salmon, gravy, herring, liver, meat soups, and alcohol
(especially beer)
Cushing syndrome from long-term steroid therapy critical therapy
Only use steroids for 1-3 weeks.
(Prednisone)
RA symptoms critical thinking
- A systemic autoimmune disorder characterized by disfigurement and inflammation of multiple
joints
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
