NUR 3145 Exam 3 Questions and
Answers 100% Pass
Thiazide Diuretics - ✔✔i.e. *chlorothiazide*
Side effects: hypokalemia, hyponatremia, hypotension
Adverse effects: syncope, fall when position changing, muscle weakness, blurred vision
Before and After: K levels (hold if low), check apical pulse for a full min, electrolyte
levels
Patient teaching: hypokalemia=weakness, cramping
*normal potassium level: 3.5-5.0
High-Ceiling (Loop) Diuretics - ✔✔i.e. *furosemide*
Side effects: H20, K, Na, and Ca loss in urine, orthostatic hypotension
Adverse: syncope, fall when changing positions, irregular heart rhythms may occur,
*ototoxicity* (elderly), *hyperglycemia*
Before and after: always check electrolyte levels, other ototoxic drugs, give potassium
supplements if ordered, monitor for *hearing loss*
Katelyn Whitman, All Rights Reserved © 2025 1
, Potassium-Sparing Diuretics - ✔✔i.e. *Spironolactone triamterene*
Heart Failure
Side effects: orthostatic hypotension, hyponatremia
Adverse effects: *hyperkalemia*, development of dysrhythmia
Monitor for hyperkalemia*
Urinary antispasmodics (Drugs for Overactive bladder) - ✔✔i.e. *Oxybutynin
tolterodine*
Intended responses: decreased urinary frequency, urgency, and incontinence, ACH
antagonists
Side effects: Dry mouth and eyes*, constipation, headache (parasympathetic system
blocked)
Adverse effects: chest pain, irregular heart rate, dyspnea, edema, weight gain,
confusion/hallucinations, not able to sweat (temp up fast)
Before and after: vitals, assess for edema, history of liver or kidney disease, daily
weights
Drugs for BPH - ✔✔Intended response: decrease in pressure; improve urine flow,
decreased BPH symptoms
Before Admin: rule out cancer, sulfa allergies, monitor for orthostatic hypotension
Katelyn Whitman, All Rights Reserved © 2025 2
Answers 100% Pass
Thiazide Diuretics - ✔✔i.e. *chlorothiazide*
Side effects: hypokalemia, hyponatremia, hypotension
Adverse effects: syncope, fall when position changing, muscle weakness, blurred vision
Before and After: K levels (hold if low), check apical pulse for a full min, electrolyte
levels
Patient teaching: hypokalemia=weakness, cramping
*normal potassium level: 3.5-5.0
High-Ceiling (Loop) Diuretics - ✔✔i.e. *furosemide*
Side effects: H20, K, Na, and Ca loss in urine, orthostatic hypotension
Adverse: syncope, fall when changing positions, irregular heart rhythms may occur,
*ototoxicity* (elderly), *hyperglycemia*
Before and after: always check electrolyte levels, other ototoxic drugs, give potassium
supplements if ordered, monitor for *hearing loss*
Katelyn Whitman, All Rights Reserved © 2025 1
, Potassium-Sparing Diuretics - ✔✔i.e. *Spironolactone triamterene*
Heart Failure
Side effects: orthostatic hypotension, hyponatremia
Adverse effects: *hyperkalemia*, development of dysrhythmia
Monitor for hyperkalemia*
Urinary antispasmodics (Drugs for Overactive bladder) - ✔✔i.e. *Oxybutynin
tolterodine*
Intended responses: decreased urinary frequency, urgency, and incontinence, ACH
antagonists
Side effects: Dry mouth and eyes*, constipation, headache (parasympathetic system
blocked)
Adverse effects: chest pain, irregular heart rate, dyspnea, edema, weight gain,
confusion/hallucinations, not able to sweat (temp up fast)
Before and after: vitals, assess for edema, history of liver or kidney disease, daily
weights
Drugs for BPH - ✔✔Intended response: decrease in pressure; improve urine flow,
decreased BPH symptoms
Before Admin: rule out cancer, sulfa allergies, monitor for orthostatic hypotension
Katelyn Whitman, All Rights Reserved © 2025 2
