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NUR 2092 Chapter 51 Exam – 100 Questions on Diuretics, Electrolyte Imbalance, Fluid Regulation & Nursing Actions

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This complete exam document for NUR 2092: Nursing Pharmacology at Chamberlain University contains 100 clinically validated questions with correct answers, focused on Chapter 51 – Drugs Acting on the Renal System: Diuretic Agents, and is structured for the 2025/2026 academic year. It is designed to help students master the pharmacologic management of fluid volume, blood pressure, electrolyte balance, and related nursing interventions. The questions span multiple diuretic classes and real-life clinical scenarios, using NCLEX-style formats including select-all-that-apply and prioritization questions. Key concepts and content areas include: Thiazide and thiazide-like diuretics: hydrochlorothiazide, chlorothiazide, indapamide – indications, side effects (e.g., hypokalemia), and sulfa-allergy concerns Loop diuretics: furosemide, bumetanide – rapid onset, peak effects, IV/PO use, and electrolyte monitoring Potassium-sparing diuretics: spironolactone, triamterene – risk of hyperkalemia, nursing assessments, and patient teaching on potassium-rich foods Osmotic diuretics: mannitol – use in intracranial pressure and acute renal failure Carbonic anhydrase inhibitors: acetazolamide, methazolamide – indications (e.g., glaucoma, epilepsy), and acid-base imbalances Renal and cardiovascular considerations: fluid rebound, dehydration, metabolic alkalosis/acidosis, orthostatic hypotension, and digoxin toxicity risks Patient education: diet recommendations, self-monitoring (daily weight), signs of electrolyte imbalance, medication timing, and avoiding drug interactions (e.g., ACE inhibitors, corticosteroids) Special populations: geriatric care, clients with liver cirrhosis, renal insufficiency, diabetes, and heart failure The questions emphasize drug action, adverse effects, safe administration, contraindications, and patient-centered teaching, making this resource ideal for both study and clinical preparation. Recommended for: Students enrolled in NUR 2092 at Chamberlain University Nursing students preparing for pharmacology unit exams, NCLEX-RN, or ATI diuretic medication reviews Learners focusing on renal pharmacology, fluid-electrolyte imbalances, or cardiac and renal comorbidity care Allied health students studying medication safety and fluid volume regulation in clinical settings This guide builds critical thinking and prepares students to manage patients on diuretic therapy effectively and safely. Keywords: NUR 2092, Chapter 51, diuretics, loop diuretics, furosemide, hydrochlorothiazide, spironolactone, mannitol, triamterene, acetazolamide, fluid balance, electrolyte monitoring, hyperkalemia, hypokalemia, NCLEX pharmacology, renal drugs,

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NUR 2092 Pharmacology Ch 51 Drugs
Acting on the Renal system - Diuretic
Agents Questions and Answers

Which instruction would be most appropriate for a client who is taking a

diuretic? - 🧠 ANSWER ✔✔"It's okay to take it with food."


A client is receiving hydrochlorothiazide. The nurse would expect this drug

to begin acting within which time frame? - 🧠 ANSWER ✔✔2 hours


A 49-year-old client reports frequent muscle cramps while on

hydrochlorothiazide therapy. The nurse would advise the client to do

which? - 🧠 ANSWER ✔✔eat potassium-rich foods.


What would contraindicate the use of indapamide? - 🧠 ANSWER ✔✔Renal

disease

, A 91-year-old client, who is being prepared for discharge, has been

prescribed the diuretic spironolactone. While teaching the client about the

drug, what major adverse effect should the nurse be sure to mention? - 🧠

ANSWER ✔✔Hyperkalemia


A health care provider has prescribed triamterene to a male client with

renal disease. The client informs the nurse that he is taking potassium

supplements to address some heart problems. The nurse would be alert

for: - 🧠 ANSWER ✔✔increased risk of hyperkalemia.


The health care provider indicates that a client experiencing renal failure is

not a candidate for therapy with potassium-sparing diuretics. How will the

nurse respond when the client's family member asks why this is the case? -

🧠 ANSWER ✔✔They may cause hyperkalemia.


A patient is receiving acetazolamide in a sustained release form. The nurse

would anticipate the onset of drug action in approximately which time

frame? - 🧠 ANSWER ✔✔2 hours


After teaching a group of nursing students about diuretics, the instructor

determines that the teaching was successful when the group identifies

which as a loop diuretic? - 🧠 ANSWER ✔✔Furosemide

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