1
NUR 2474 Pharm Exam 2 NCLEX
Questions and Answers (100% Correct
Answers) Already Graded A+
A patient is brought to the emergency department with
shortness of breath, a respiratory rate of 30 breaths per
minute, intercostal retractions, and frothy, pink sputum. The
nurse caring for this patient will expect to administer which
drug?
© 2025 Assignment
a.Furosemide (Lasix)
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Expert
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone) Correct Answer: a.Furosemide
(Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe
signs of congestive heart failure with respiratory distress and
pulmonary edema and needs immediate mobilization of fluid.
Hydrochlorothiazide and spironolactone are not indicated for
pulmonary edema, because their diuretic effects are less rapid.
Mannitol is indicated for patients with increased intracranial
pressure and must be discontinued immediately if signs of
pulmonary congestion or heart failure occur.
A patient who is taking digoxin is admitted to the hospital for
treatment of congestive heart failure. The prescriber has
ordered furosemide (Lasix). The nurse notes an irregular heart
rate of 86 beats per minute, a respiratory rate of 22 breaths
per minute, and a blood pressure of 130/82 mm Hg. The nurse
, 2
auscultates crackles in both lungs. Which laboratory value
causes the nurse the most concern?
a.Blood glucose level of 120 mg/dL
b.Oxygen saturation of 90%
c.Potassium level of 3.5 mEq/L
d.Sodium level of 140 mEq/L Correct Answer: c.Potassium
© 2025 Assignment
level of 3.5 mEq/L
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This patient has an irregular, rapid heartbeat that might be
Expert
caused by a dysrhythmia. This patient's serum potassium level
is low, which can trigger fatal dysrhythmias, especially in
patients taking digoxin. Furosemide contributes to loss of
potassium through its effects on the distal nephron.
Potassium-sparing diuretics often are used in conjunction with
furosemide to prevent this complication. This patient's serum
glucose and sodium levels are normal and of no concern at
this point, although they can be affected by furosemide. The
oxygen saturation is somewhat low and needs to be monitored,
although it may improve with diuresis.
A patient has 2+ pitting edema of the lower extremities
bilaterally. Auscultation of the lungs reveals crackles
bilaterally, and the serum potassium level is 6 mEq/L. Which
diuretic agent ordered by the prescriber should the nurse
question?
a.Bumetanide (Bumex)
b.Furosemide (Lasix)
c.Spironolactone (Aldactone)
, 3
d.Hydrochlorothiazide (HydroDIURIL) Correct Answer:
c.Spironolactone (Aldactone)
Spironolactone is a non-potassium-wasting diuretic; therefore,
if the patient has a serum potassium level of 6 mEq/L,
indicating hyperkalemia, an order for this drug should be
questioned. Bumetanide, furosemide, and hydrochlorothiazide
are potassium-wasting diuretics and would be appropriate to
administer in a patient with hyperkalemia.
A nurse preparing to administer morning medications notes
© 2025 Assignment
that a patient with a history of hypertension has been
prescribed the angiotensin-converting enzyme (ACE) inhibitor
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captopril (Capoten) concurrently with spironolactone
Expert
(Aldactone). Morning laboratory results reveal a serum sodium
level of 144 mg/dL, a serum potassium level of 5.1 mEq/L, and
a blood glucose level of 128 mg/dL. Which intervention is
appropriate?
a.Administer the medications as ordered.
b.Ask the patient about the use of salt substitutes.
c.Contact the provider to report the laboratory values.
d.Request an order for furosemide (Lasix). Correct Answer:
c.Contact the provider to report the laboratory values.
Spironolactone should not be administered with ACE
inhibitors, which can also elevate potassium levels. Because
the potassium level is elevated, the nurse should not
administer the medication and should obtain clarification of
the order. There is no need to repeat the potassium level test
that was just done this morning. Requesting an order for
furosemide is appropriate only after the provider has been
notified of the laboratory values.
, 4
A patient with hypertension is taking furosemide (Lasix) for
congestive heart failure. The prescriber orders digoxin to help
increase cardiac output. What other medication will the nurse
expect to be ordered for this patient?
a.Bumetanide (Bumex)
b.Chlorothiazide (Diuril)
c.Hydrochlorothiazide (HydroDIURIL)
© 2025 Assignment
d.Spironolactone (Aldactone) Correct Answer:
d.Spironolactone (Aldactone)
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Expert
Spironolactone is used in conjunction with furosemide
because of its potassium-sparing effects. Furosemide can
contribute to hypokalemia, which can increase the risk of fatal
dysrhythmias, especially with digoxin administration. The
other diuretics listed are all potassium-wasting diuretics.
A patient is taking gentamicin (Garamycin) and furosemide
(Lasix). The nurse should counsel this patient to report which
symptom?
a.Frequent nocturia
b.Headaches
c.Ringing in the ears
d.Urinary retention Correct Answer: c.Ringing in the ears
Patients taking furosemide should be advised that the risk of
furosemide-induced hearing loss can be increased when other
ototoxic drugs, such as gentamicin, are also taken. Patients
NUR 2474 Pharm Exam 2 NCLEX
Questions and Answers (100% Correct
Answers) Already Graded A+
A patient is brought to the emergency department with
shortness of breath, a respiratory rate of 30 breaths per
minute, intercostal retractions, and frothy, pink sputum. The
nurse caring for this patient will expect to administer which
drug?
© 2025 Assignment
a.Furosemide (Lasix)
Guru01 - Stuvia
Expert
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone) Correct Answer: a.Furosemide
(Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe
signs of congestive heart failure with respiratory distress and
pulmonary edema and needs immediate mobilization of fluid.
Hydrochlorothiazide and spironolactone are not indicated for
pulmonary edema, because their diuretic effects are less rapid.
Mannitol is indicated for patients with increased intracranial
pressure and must be discontinued immediately if signs of
pulmonary congestion or heart failure occur.
A patient who is taking digoxin is admitted to the hospital for
treatment of congestive heart failure. The prescriber has
ordered furosemide (Lasix). The nurse notes an irregular heart
rate of 86 beats per minute, a respiratory rate of 22 breaths
per minute, and a blood pressure of 130/82 mm Hg. The nurse
, 2
auscultates crackles in both lungs. Which laboratory value
causes the nurse the most concern?
a.Blood glucose level of 120 mg/dL
b.Oxygen saturation of 90%
c.Potassium level of 3.5 mEq/L
d.Sodium level of 140 mEq/L Correct Answer: c.Potassium
© 2025 Assignment
level of 3.5 mEq/L
Guru01 - Stuvia
This patient has an irregular, rapid heartbeat that might be
Expert
caused by a dysrhythmia. This patient's serum potassium level
is low, which can trigger fatal dysrhythmias, especially in
patients taking digoxin. Furosemide contributes to loss of
potassium through its effects on the distal nephron.
Potassium-sparing diuretics often are used in conjunction with
furosemide to prevent this complication. This patient's serum
glucose and sodium levels are normal and of no concern at
this point, although they can be affected by furosemide. The
oxygen saturation is somewhat low and needs to be monitored,
although it may improve with diuresis.
A patient has 2+ pitting edema of the lower extremities
bilaterally. Auscultation of the lungs reveals crackles
bilaterally, and the serum potassium level is 6 mEq/L. Which
diuretic agent ordered by the prescriber should the nurse
question?
a.Bumetanide (Bumex)
b.Furosemide (Lasix)
c.Spironolactone (Aldactone)
, 3
d.Hydrochlorothiazide (HydroDIURIL) Correct Answer:
c.Spironolactone (Aldactone)
Spironolactone is a non-potassium-wasting diuretic; therefore,
if the patient has a serum potassium level of 6 mEq/L,
indicating hyperkalemia, an order for this drug should be
questioned. Bumetanide, furosemide, and hydrochlorothiazide
are potassium-wasting diuretics and would be appropriate to
administer in a patient with hyperkalemia.
A nurse preparing to administer morning medications notes
© 2025 Assignment
that a patient with a history of hypertension has been
prescribed the angiotensin-converting enzyme (ACE) inhibitor
Guru01 - Stuvia
captopril (Capoten) concurrently with spironolactone
Expert
(Aldactone). Morning laboratory results reveal a serum sodium
level of 144 mg/dL, a serum potassium level of 5.1 mEq/L, and
a blood glucose level of 128 mg/dL. Which intervention is
appropriate?
a.Administer the medications as ordered.
b.Ask the patient about the use of salt substitutes.
c.Contact the provider to report the laboratory values.
d.Request an order for furosemide (Lasix). Correct Answer:
c.Contact the provider to report the laboratory values.
Spironolactone should not be administered with ACE
inhibitors, which can also elevate potassium levels. Because
the potassium level is elevated, the nurse should not
administer the medication and should obtain clarification of
the order. There is no need to repeat the potassium level test
that was just done this morning. Requesting an order for
furosemide is appropriate only after the provider has been
notified of the laboratory values.
, 4
A patient with hypertension is taking furosemide (Lasix) for
congestive heart failure. The prescriber orders digoxin to help
increase cardiac output. What other medication will the nurse
expect to be ordered for this patient?
a.Bumetanide (Bumex)
b.Chlorothiazide (Diuril)
c.Hydrochlorothiazide (HydroDIURIL)
© 2025 Assignment
d.Spironolactone (Aldactone) Correct Answer:
d.Spironolactone (Aldactone)
Guru01 - Stuvia
Expert
Spironolactone is used in conjunction with furosemide
because of its potassium-sparing effects. Furosemide can
contribute to hypokalemia, which can increase the risk of fatal
dysrhythmias, especially with digoxin administration. The
other diuretics listed are all potassium-wasting diuretics.
A patient is taking gentamicin (Garamycin) and furosemide
(Lasix). The nurse should counsel this patient to report which
symptom?
a.Frequent nocturia
b.Headaches
c.Ringing in the ears
d.Urinary retention Correct Answer: c.Ringing in the ears
Patients taking furosemide should be advised that the risk of
furosemide-induced hearing loss can be increased when other
ototoxic drugs, such as gentamicin, are also taken. Patients
