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Questions for Pharmacology Exam #3: Graded,
Expert-Reviewed Questions and Answers!
It is ordered that a patient be given furosemide via intravenous push. Which interventions
will the nurse perform? Select all that apply.
Monitor ECG continuously
Maintain accurate I/O record
Assess lung sounds before and after admin
Assess blood pressure before and after admin
Insert arterial line for continuous BP monitoring - CORRECT ANS- -Maintain accurate I/O
record
Assess lung sounds before and after admin
Assess blood pressure before and after admin
It is appropriate to monitor intake and output for a patient receiving a diuretic. Furosemide
will decrease fluid in alveoli, and assessing lung sounds can help to determine therapeutic
effect. Blood pressure should decrease with the administration of a diuretic, so it is
appropriate to monitor it before and after administration.
A patient with acute pulmonary edema is receiving furosemide. What assessment finding
indicates to the nurse that the intervention is working?
Lungs clear
Output 30 mL/hr
Improvement in mental status
Potassium level decreased 4.5 - 3.5 mEq/L - CORRECT ANS- -Lungs clear
,Furosemide is a potent, rapid-acting diuretic that would be the drug of choice to treat acute
pulmonary edema. Furosemide should not cause a drastic change in output or decrease in
potassium level, and there is no evidence that it will create any change in mental status.
Which diuretic is a poor choice for a patient who has gout?
Mannitol
Acetazolamide
Spironolactone
Hydrochlorothiazide - CORRECT ANS- -Hydrochlorothiazide
Hydrochlorothiazide is a thiazide diuretic, which can cause an increased uric acid level, so
it is a poor choice for a patient who has gout because gout is a condition of impaired uric
acid metabolism resulting in uric acid accumulation.
How long after intravenous administration of furosemide does the nurse anticipate the
beginning of diuresis?
1 minute
5 minutes
30 minutes
60 minutes - CORRECT ANS- -5 minutes
The effects of IV furosemide begin within 5 minutes of administration and last for 2 hours.
IV therapy is used in critical situations (e.g., pulmonary edema) that demand immediate
mobilization and elimination of fluid. If furosemide is applied by the oral route, the onset of
action starts in 30 to 60 minutes.
, Which drug is used cautiously in patients with a sulfa drug allergy?
Furosemide
Mannitol
Acetazolamide
Amiloride - CORRECT ANS- -Furosemide
Furosemide is a structurally similar drug to sulfonamide antibiotics; hence it is
contraindicated in patients with a sulfa drug allergy
Which side effect is associated with furosemide?
Hypokalemia
Hypochondria
Hypoglycemia
Hypoxia - CORRECT ANS- -Hypokalemia
Hypokalemia, or decreased serum potassium, is the major side effect of furosemide,
because it results in the excretion of potassium ions.
Which class of diuretics is used to manage increased intracranial pressure?
Osmotic Diuretics
Loop Diuretics
Potassium-sparing
Carbonic anhydrase inhibitors - CORRECT ANS- -
Questions for Pharmacology Exam #3: Graded,
Expert-Reviewed Questions and Answers!
It is ordered that a patient be given furosemide via intravenous push. Which interventions
will the nurse perform? Select all that apply.
Monitor ECG continuously
Maintain accurate I/O record
Assess lung sounds before and after admin
Assess blood pressure before and after admin
Insert arterial line for continuous BP monitoring - CORRECT ANS- -Maintain accurate I/O
record
Assess lung sounds before and after admin
Assess blood pressure before and after admin
It is appropriate to monitor intake and output for a patient receiving a diuretic. Furosemide
will decrease fluid in alveoli, and assessing lung sounds can help to determine therapeutic
effect. Blood pressure should decrease with the administration of a diuretic, so it is
appropriate to monitor it before and after administration.
A patient with acute pulmonary edema is receiving furosemide. What assessment finding
indicates to the nurse that the intervention is working?
Lungs clear
Output 30 mL/hr
Improvement in mental status
Potassium level decreased 4.5 - 3.5 mEq/L - CORRECT ANS- -Lungs clear
,Furosemide is a potent, rapid-acting diuretic that would be the drug of choice to treat acute
pulmonary edema. Furosemide should not cause a drastic change in output or decrease in
potassium level, and there is no evidence that it will create any change in mental status.
Which diuretic is a poor choice for a patient who has gout?
Mannitol
Acetazolamide
Spironolactone
Hydrochlorothiazide - CORRECT ANS- -Hydrochlorothiazide
Hydrochlorothiazide is a thiazide diuretic, which can cause an increased uric acid level, so
it is a poor choice for a patient who has gout because gout is a condition of impaired uric
acid metabolism resulting in uric acid accumulation.
How long after intravenous administration of furosemide does the nurse anticipate the
beginning of diuresis?
1 minute
5 minutes
30 minutes
60 minutes - CORRECT ANS- -5 minutes
The effects of IV furosemide begin within 5 minutes of administration and last for 2 hours.
IV therapy is used in critical situations (e.g., pulmonary edema) that demand immediate
mobilization and elimination of fluid. If furosemide is applied by the oral route, the onset of
action starts in 30 to 60 minutes.
, Which drug is used cautiously in patients with a sulfa drug allergy?
Furosemide
Mannitol
Acetazolamide
Amiloride - CORRECT ANS- -Furosemide
Furosemide is a structurally similar drug to sulfonamide antibiotics; hence it is
contraindicated in patients with a sulfa drug allergy
Which side effect is associated with furosemide?
Hypokalemia
Hypochondria
Hypoglycemia
Hypoxia - CORRECT ANS- -Hypokalemia
Hypokalemia, or decreased serum potassium, is the major side effect of furosemide,
because it results in the excretion of potassium ions.
Which class of diuretics is used to manage increased intracranial pressure?
Osmotic Diuretics
Loop Diuretics
Potassium-sparing
Carbonic anhydrase inhibitors - CORRECT ANS- -
