A patient with severe infectious disease is being treated with aminoglycoside * antibiotics. Which of the following diuretic should be avoided for this patient because of the serious side effect shared by both drugs?

Correct Answer: A

Rationale: The correct answer is A: Furosemide. Aminoglycoside antibiotics can cause ototoxicity and nephrotoxicity. Furosemide, a loop diuretic, also has the potential to cause ototoxicity and nephrotoxicity, leading to a serious side effect when combined with aminoglycosides. On the other hand, choices B, C, and D (Hydrochlorothiazide, Spironolactone, and Acetazolamide) do not share the same serious side effects with aminoglycosides. Hydrochlorothiazide is a thiazide diuretic that acts on the distal convoluted tubule, Spironolactone is a potassium-sparing diuretic that acts on the collecting duct, and Acetazolamide is a carbonic anhydrase inhibitor diuretic that works in the proximal tubule. Therefore, Furosemide should

Correct Answer: B

Rationale: The correct answer is B: albumin. Glomerular capillaries have a filtration barrier that prevents large molecules like albumin from passing into the filtrate. Water (A), urea (C), and sodium ions (D) are smaller molecules that can pass through the filtration barrier and are normally found in the filtrate. Albumin, being a large protein molecule, is normally retained in the blood and not expected to appear in the filtrate. This is essential for maintaining proper blood composition and oncotic pressure.

Correct Answer: C

Rationale: The correct answer is C: Being female. Being female does not increase the risk of developing a UTI. UTIs are more common in females due to shorter urethras. Pregnancy (A) can increase UTI risk due to hormonal changes. Diabetes mellitus (B) can affect the immune system, leading to higher UTI susceptibility. Catheterization (D) introduces bacteria into the urinary tract, significantly increasing the risk of UTIs. Overall, being female alone does not directly increase the risk of UTIs compared to the other factors mentioned.

Correct Answer: A

Rationale: Correct Answer: A Rationale: Identical twin donor and recipient still require immunosuppression due to minor histocompatibility antigens. Failure to suppress the immune system can lead to rejection. Graft rejection may present with symptoms such as graft tenderness, decreased urine output, and increased creatinine levels. Infections are indeed a common cause of morbidity and mortality in renal transplant patients, with a high incidence within the first year post-transplant. Therefore, choice A is incorrect as even identical twin donors and recipients require immunosuppression to prevent rejection.

Correct Answer: C

Rationale: Rationale: Choice C is correct because the description of deeply pigmented, wrinkled scrotal skin with large sebaceous follicles in a 25-year-old man is indicative of normal changes associated with development and aging. The nurse should recognize this as a normal finding and proceed with the examination without any further intervention. Summary of Incorrect Choices: A: Squeezing the glans to check for discharge is not indicated based on the information provided. This action is unnecessary and could potentially cause discomfort or harm to the patient. D: Assessing the testicles for masses or painless lumps is not relevant to the described findings of pigmented, wrinkled scrotal skin with sebaceous follicles. This choice does not align with the presented information and would not be appropriate in this scenario.