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Nursing Pharmacology · NCLEX-RN

Nursing Pharmacology: Diuretics and Renal Medications

Loop, thiazide, and potassium-sparing diuretics with their electrolyte monitoring and key nursing considerations.

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Furosemide belongs to which class of diuretics?
Loop diuretic
Where in the nephron do loop diuretics act?
The thick ascending limb of the loop of Henle
What transporter do loop diuretics inhibit?
The Na-K-2Cl cotransporter
Loop diuretics increase urinary loss of which electrolyte, raising the risk of hypokalemia?
Potassium
Loop diuretics increase urinary excretion of which mineral, raising the risk of hypocalcemia?
Calcium
What serious risk is associated with rapid IV administration of furosemide?
Ototoxicity (hearing loss or tinnitus)
What is the maximum recommended IV push rate for furosemide to reduce ototoxicity risk?
No faster than 20 mg per minute
Loop diuretics are the drug of choice for treating which acute lung condition caused by fluid overload?
Pulmonary edema
Furosemide is chemically related to which drug class, requiring caution in patients with a related allergy?
Sulfonamides (sulfa drugs)
Which loop diuretic is a non-sulfonamide alternative safe for patients with a sulfa allergy?
Ethacrynic acid
Loop diuretics can raise serum uric acid levels, increasing the risk of which condition?
Gout
What daily nursing assessment helps track a patient's response to diuretic therapy?
Daily weight, taken at the same time on the same scale
Hydrochlorothiazide belongs to which class of diuretics?
Thiazide diuretic
Where in the nephron do thiazide diuretics act?
The distal convoluted tubule
What ion pair's reabsorption do thiazide diuretics inhibit?
Sodium and chloride

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