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RN Nursing School · Pharmacology · 88 questions

Medications Affecting the Renal and Urinary System practice questions

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  1. 1The healthcare provider ordered 1 L D5 0.9% sodium chloride with 30 mEq of potassium chloride to infuse at a rate of 1.5 mEq/hr. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  2. 2The therapeutic effect of the selective alpha-1 blocker tamsulosin (Flomax) which blocks alpha receptors in the smooth muscle of the bladder, prostate and urethra is toAnswer →
  3. 3A patient presents with an overactive bladder, and an antimuscarinic drug is considered. Which of the following is the MOST appropriate option?Answer →
  4. 4A 72-year-old man with low blood pressure (100/60 mmHg) and benign prostatic hyperplasia (BPH) needs treatment. Which drug should be avoided?Answer →
  5. 5The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?Answer →
  6. 6Which drug class should be avoided in combination with methenamine to prevent reduced antibacterial effects?Answer →
  7. 7The nurse practitioner prescribes a 5-alpha reductase inhibitor for a patient with urinary complaints. The nurse practitioner anticipates which treatment goal?Answer →
  8. 8A nurse is reviewing laboratory results for a client who is receiving IV furosemide. Which of the following results indicates a therapeutic response to the medication?Answer →
  9. 9A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?Answer →
  10. 10A 55-year-old man with type 2 diabetes presents with erectile dysfunction (ED). He has tried lifestyle modifications and counseling without improvement. The NP considers starting pharmacologic therapy. Which of the following BEST describes the mechanism of action of sildenafil?Answer →
  11. 11What potential interaction should be considered when phenazopyridine is combined with a local anesthetic such as benzocaine?Answer →
  12. 12A 45-year-old man is experiencing erectile dysfunction and is concerned about the potential adverse effects of alprostadil therapy. Which adverse effect should the NP discuss as being common with alprostadil use?Answer →
  13. 13A patient prescribed bethanechol for urinary retention develops abdominal cramping and diarrhea. What is the BEST explanation?Answer →
  14. 14A patient in the neurologic intensive care unit is being treated for cerebral edema. Which class of diuretic is used to reduce intracranial pressure?Answer →
  15. 15A nurse is caring for a client who has been diagnosed with benign prostatic hyperplasia (BPH) and is experiencing difficulty with urinary flow. Which of the following medications should the nurse anticipate being prescribed to decrease the size of the prostate?Answer →
  16. 16A patient presents with an overactive bladder, and an antimuscarinic drug is considered. Which of the following is the MOST appropriate option?Answer →
  17. 17What assessment findings should prompt the nurse to stop a potassium infusion immediately? (Select all that apply)Answer →
  18. 18The nurse is administering sevelamer during lunch to a client with chronic kidney disease CKD The client asks the nurse to bring the medication later The nurse should describe which action of sevelamer as an explanation for taking it with mealsAnswer →
  19. 19Which key prescribing consideration is relevant for patients receiving 5-Alpha-1-reductase inhibitors?Answer →
  20. 20The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI) Which laboratory finding indicates that the medication has been effectiveAnswer →
  21. 21A 58-year-old woman presents with stress urinary incontinence (SUI). According to the American Urological Association (AUA) guidelines, which is the first-line treatment recommendation?Answer →
  22. 22For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the client. Each body system may support more than 1 potential nursing intervention. (Each category must have at least 1 response option selected.)Answer →
  23. 23A client with cirrhosis and ascites is receiving furosemide 40 mg BID. The pharmacy provides 20 mg tablets. How many tablets should the client receive each day? (Enter numeric value only.)Answer →
  24. 24How do calcimimetics help reduce the risk of nephrolithiasis in patients with chronic kidney disease (CKD)?Answer →
  25. 25What condition is necessary for methenamine to exert its antimicrobial effects?Answer →
  26. 26The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?Answer →
  27. 27The nurse is caring for a patient who has hypertension. The patient is being treated with hydrochlorothiazide. What will the nurse monitor most closely?Answer →
  28. 28A 65-year-old woman with an overactive bladder (OAB) is prescribed oxybutynin. What is the drug's primary mechanism of action?Answer →
  29. 29A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  30. 30The nurse is reviewing information about diuretic therapy. When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?Answer →
  31. 31The nurse practitioner prescribes a 5-alpha reductase inhibitor for a patient with urinary complaints. The nurse practitioner anticipates which treatment goal?Answer →
  32. 32A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?Answer →
  33. 33A 60-year-old man with benign prostatic hyperplasia (BPH) is prescribed a medication to reduce prostate size. Which class of drugs would be MOST appropriate for this patient?Answer →
  34. 34Which concentration of sodium chloride is considered hypertonic?Answer →
  35. 35A 35-year-old woman presents with burning urination, suprapubic pain, and cloudy urine. She has a sulfa allergy and poor renal function (eGFR <30). Which drug should be avoided?Answer →
  36. 36A nurse is providing education to a client who has been prescribed bethanechol for urinary retention. Which of the following information should the nurse include about how bethanechol works in the body?Answer →
  37. 37A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?Answer →
  38. 38How do calcimimetics help reduce the risk of nephrolithiasis in patients with chronic kidney disease (CKD)?Answer →
  39. 39Which adverse effect is commonly associated with both finasteride and dutasteride therapy?Answer →
  40. 40A 65-year-old woman with an overactive bladder (OAB) is prescribed oxybutynin. What is the drug's primary mechanism of action?Answer →
  41. 41When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics.Answer →
  42. 42A patient is admitted to the emergency department with a potassium level of 7 mEq/L (normal serum potassium 3.5-5.0 mEq/L) The best treatment for this problem would beAnswer →
  43. 43A client with PCOS is on spironolactone. Which condition is most likely, what actions should be taken, and what parameters should be monitored?Answer →
  44. 44A patient with severe, protracted vomiting from viral gastroenteritis is at risk for which acid-base imbalance?Answer →
  45. 45When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?Answer →
  46. 46The patient mentions bethanechol when asked about his medication history. The nurse recognizes that this drug is used for the treatment of which condition?Answer →
  47. 47A nurse is administering ciprofloxacin and phenazopyridine to a patient who has a UTI. The patient asks why both medications are being given. Which of the following responses should the nurse make?Answer →
  48. 48The nurse administered IV bumetanide to a patient being treated for heart failure. Which outcome indicates that the medication has achieved the expected effect?Answer →
  49. 49Which statement accurately describes the mechanism of action of Alpha-1 blockers in the treatment of benign prostatic hyperplasia (BPH)?Answer →
  50. 50A nurse is providing teaching for clients who are taking medications for genitourinary disorders. Which of the following clients should the nurse inform about a potential interaction with digoxin?Answer →
  51. 51The nurse is monitoring a patient who is taking potassium-sparing diuretic. Which of the drugs or drug classes may have an interaction with this type of diuretic? Select all that applyAnswer →
  52. 52A nurse is providing teaching to a client who is receiving intermittent parenteral potassium chloride. Which of the following conditions should the nurse recognize as an indication for this medication?Answer →
  53. 53A nurse is discussing medication options with a client who has been experiencing symptoms of an overactive bladder. Which of the following medications should the nurse explain works by activating beta-3 adrenergic receptors to treat overactive bladder?Answer →
  54. 54A patient taking Furosemide (Lasix) has the following lab values. Based on the above results, what medication should the nurse expect to administer?Answer →
  55. 55A nursing student is studying for an upcoming pharmacology exam. Which of the following drug classes does the student correctly identify is used to treat benign prostatic hypertrophy (BPH)?Answer →
  56. 56A patient on finasteride for benign prostatic hyperplasia (BPH) shows no drop in the prostate-specific antigen (PSA) after 6 months. What is the next step?Answer →
  57. 57A nurse is caring for a client who has autosomal dominant polycystic kidney disease (ADPKD) who has been prescribed tolvaptan. Which of the following actions should the nurse explain is the mechanism by which tolvaptan helps manage ADPKD?Answer →
  58. 58For each body system below, specify the potential nursing intervention that would be appropriate for the care of a client with fluid imbalance. Each body system may support more than one potential nursing intervention. (Each category must have at least 1 response option selected.)Answer →
  59. 59A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates that the therapy has been effective?Answer →
  60. 60A 60-year-old man with hypertension and benign prostatic hyperplasia (BPH) needs medication. Which medication would be MOST beneficial?Answer →
  61. 61The nurse is continuing to review instructions regarding hydrochlorothiazide. Which of the following would not be an instruction that the nurse would provide to a patient starting on diuretics?Answer →
  62. 62The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?Answer →
  63. 63A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which assessment should the nurse perform to monitor for an adverse reaction?Answer →
  64. 64For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the client. Each body system may support more than 1 potential nursing intervention. (Each category must have at least 1 response option selected.)Answer →
  65. 65Cinacalcet is MOST used to treat which of the following chronic kidney disease (CKD) associated conditions?Answer →
  66. 66A 29-year-old transgender woman (assigned male at birth) has been on gender-affirming hormone therapy with oral estradiol 4 mg daily and spironolactone 100 mg twice daily for 12 months. She reports dizziness and muscle weakness. Her blood pressure is 92/58 mmHg, and labs show serum potassium 5.7 mEq/L. Which of the following pharmacologic interventions is most appropriate?Answer →
  67. 67A 35-year-old woman presents with burning urination, suprapubic pain, and cloudy urine. She has a sulfa allergy and poor renal function (eGFR <30). Which drug should be avoided?Answer →
  68. 68The pharmacodynamic action of mannitol, an osmotic diuretic, is that itAnswer →
  69. 69A middle-aged patient is diagnosed with Benign Prostatic Hyperplasia (BPH). The provider prescribes Tamsulosin. Which statement should be included in the nurse's teaching plan for this medication?Answer →
  70. 70Diuresis with mannitol would be appropriate for a patient being treated forAnswer →
  71. 71The health-care provider ordered bumetanide to be administered STAT to a client diagnosed with pulmonary edema. After 4 hours, which assessment data Indicates the client may be experiencing a complication of the medication?Answer →
  72. 72A 58-year-old woman presents with stress urinary incontinence (SUI). According to the American Urological Association (AUA) guidelines, which is the first-line treatment recommendation?Answer →
  73. 73What condition is necessary for methenamine to exert its antimicrobial effects?Answer →
  74. 74When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?Answer →
  75. 75Which patient should avoid muscarinic antagonists for overactive bladder?Answer →
  76. 76What important drug interaction should be considered when prescribing nonselective Alpha-1 blockers for benign prostatic hyperplasia (BPH)?Answer →
  77. 77A nurse is caring for a client who is receiving an IV infusion of potassium chloride. Which of the following complications should the nurse recognize as an indication to discontinue the infusion?Answer →
  78. 78A patient is being discharged to home on a daily dose of furosemide. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient's daily routine?Answer →
  79. 79The patient will be started on a diuretic for antihypertensive therapy. The nurse anticipates a drug in which class is likely to be used initially?Answer →
  80. 80A nurse is reviewing the laboratory results of a client who is taking hydrochlorothiazide. Which of the following laboratory findings should the nurse recognize as a contraindication for continuing this medication?Answer →
  81. 81Which of the following are potential adverse effects of using osmotic diuretics in a patient with CHF? (Select all that apply)Answer →
  82. 82A patient receives a prescription for oxybutynin (Ditropan) for the treatment of overactive bladder. Which instruction should the nurse include in patient teaching to help prevent the adverse effects of therapy?Answer →
  83. 83As a means of facilitating adherence to the therapeutic regimen, which instruction should the nurse include in teaching for patients taking nitrofurantoin (Macrodantin)?Answer →
  84. 84Which patient should avoid muscarinic antagonists for overactive bladder?Answer →
  85. 85A nurse is reviewing the medical record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should educate the client about the potential side effects of oxybutynin. Which of the following side effects should the nurse include in the patient education?Answer →
  86. 86Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?Answer →
  87. 87A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?Answer →
  88. 88When assessing a patient who is receiving a loop diuretic, the nurse looks for the manifestations of potassium deficiency, which would include what symptoms? Select all that applyAnswer →