A Quiz About Diuretics! Trivia

1. Which of the following is NOT a loop diuretic?

Furosemide (Lasix)

Bumetadine (Bumex)

Torsemide (Demadex)

Chlorothiazide (Diuril)

Loop diuretics include Furosemide (Lasix), Bumetadine (Bumex), Torsemide (Demadex) and Ethacrynic acid (Edecrin). Chlorothiazide (Diuril) is a thiazide diuretic.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Loop diuretics include Furosemide (Lasix), Bumetadine (Bumex), Torsemide (Demadex) and Ethacrynic acid (Edecrin). Chlorothiazide (Diuril) is a thiazide diuretic.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

2. Which of the following is NOT a thiazide diuretic?

Metolazone (Zaroxolyn)

Hydrochlorothiazide (HCTZ)

Bendroflumethazide (Naturetin)

Triamterene (Dyrenium)

Thiazide diuretics include: Bendroflumethazide (Naturetin), Chlorothiazide (Diuril), Hydrochlorothiazide (HCTZ), Metolazone (Zaroxolyn), Polythiazide (Renese), Chlorthalidone (Hygroton), Trichlormethiazide (Naqua), Indapamide (Lozol), and Xipamid (Xipamide). Triamterene is a potassium-sparing diuretic. LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Thiazide diuretics include: Bendroflumethazide (Naturetin), Chlorothiazide (Diuril), Hydrochlorothiazide (HCTZ), Metolazone (Zaroxolyn), Polythiazide (Renese), Chlorthalidone (Hygroton), Trichlormethiazide (Naqua), Indapamide (Lozol), and Xipamid (Xipamide). Triamterene is a potassium-sparing diuretic. LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

3. Match the generic and trade names of these LOOP DIURETICS.

Furosemide

Ethacrynic acid

Bumetadine

Torsemide

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

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4. Which of the following is NOT a potassium-sparing diuretic?

Spirinolactone (Aldactone)

Amiloride HCL (Midamor)

Triamterene (Dyrenium)

Torsemide (Demadex)

Potassium-sparing diuretics include: Spirinolactone (Aldactone), Amiloride HCL (Midamor), and Triamterene (Dyrenium). Torsemide is a loop diuretic.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Potassium-sparing diuretics include: Spirinolactone (Aldactone), Amiloride HCL (Midamor), and Triamterene (Dyrenium). Torsemide is a loop diuretic.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

5. Match the generic and trade names of these POTASSIUM-SPARING DIURETICS.

Spirinolactone

Amiloride

Triamterene

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Submit

6. Which of the following is NOT true, regarding loop diuretics?

Loop diuretics decrease absorption in the distal tubule.

Loop diuretics promote the excretion of sodium, chloride, potassium, and water.

Loop diuretics inhibit sodium and chloride reabsorption in the ascending loop of Henle.

Loop diuretics can result in dehydration.

Loop diuretics inhibit sodium and chloride reabsorption in the ascending loop of Henle, and promote the excretion of sodium, chloride, potassium and water. They can cause dehydration. THIAZIDE diuretics decrease absorption in the distal tubule.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Loop diuretics inhibit sodium and chloride reabsorption in the ascending loop of Henle, and promote the excretion of sodium, chloride, potassium and water. They can cause dehydration. THIAZIDE diuretics decrease absorption in the distal tubule.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

7. Which of the following should NOT be used by a patient taking Aldactone (Spironolactone)?

Red meats

Fatty foods

Salt substitute

Carbonated drinks

Salt substitutes contain potassium. Aldactone is a potassium-sparing diuretic, so it might cause a higher potassium level.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Salt substitutes contain potassium. Aldactone is a potassium-sparing diuretic, so it might cause a higher potassium level.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

8. People using loop diuretics or thiazide diuretics are NOT at higher risk for which of the following?

Low potassium

PVCs

Digoxin toxicity

Elevated potassium

Loop and thiazide diuretics can cause low potassium, PVCs, and Digoxin toxicity.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Loop and thiazide diuretics can cause low potassium, PVCs, and Digoxin toxicity.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

9. To reduce fall risk, which of the following suggestions should be given to the patient, regarding their diuretic?

Skip a dose when you feel ill.

Take the drug in the morning.

Weigh yourself weekly.

Reduce the dose by 1/2 when you feel ill.

Diuretics should be taken only in the morning (when possible), to reduce fall risks - people get up during the night to void, and are more apt to fall at that time. Doses should never be halved or skipped when the patient is ill - and they need to weigh themselves daily.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Diuretics should be taken only in the morning (when possible), to reduce fall risks - people get up during the night to void, and are more apt to fall at that time. Doses should never be halved or skipped when the patient is ill - and they need to weigh themselves daily.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

10. Which of the following is NOT true, regarding thiazide diuretics?

They decrease absorption in the distal tubule.

They promote the excretion of sodium, chloride, potassium, and water.

They inhibit the sodium-potassium exchange in the distal tubule.

They can cause orthostatic hypotension.

Thiazide diuretics promote the excretion of sodium, chloride, potassium and water by decreasing absorption in the distal tubule. They can cause orthostatic hypotension. POTASSIUM-SPARING diuretics inhibit the sodium-potassium exchange in the distal tubule.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Thiazide diuretics promote the excretion of sodium, chloride, potassium and water by decreasing absorption in the distal tubule. They can cause orthostatic hypotension. POTASSIUM-SPARING diuretics inhibit the sodium-potassium exchange in the distal tubule.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

11. Common side effects of all diuretics include:

Orthostatic hypotension

Dehydration

Hypoglycemia

Peripheral edema

Common side effects of all diuretics include: orthostatic hypotension, dehydration, possible hyperglycemia, and electrolyte imbalance.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

Explanation

Common side effects of all diuretics include: orthostatic hypotension, dehydration, possible hyperglycemia, and electrolyte imbalance.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.199

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12. Match the generic and trade names of these THIAZIDE DIURETICS.

Bendroflumethiazide