A nurse is administering spironolactone at 0800 to a client who has heart failure.
The nurse should monitor the client for which of the following adverse effects?

Hypernatremia.

Hyperkalemia.

Hypophosphatemia.

Hypocalcemia.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Hypernatremia (high sodium levels) is not a common side effect of spironolactone. Spironolactone is a potassium-sparing diuretic and does not typically affect sodium levels.

Choice B rationale:

Hyperkalemia (high potassium levels) is a potential adverse effect of spironolactone. As a potassium-sparing diuretic, spironolactone can cause an increase in serum potassium levels.

Choice C rationale:

Hypophosphatemia (low phosphate levels) is not typically associated with spironolactone use.

Choice D rationale:

Hypocalcemia (low calcium levels) is also not a common side effect of spironolactone.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale:

The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.

Choice B rationale:

While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.

Choice C rationale:

The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.

Choice D rationale:

The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.

Choice E rationale:

The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.

A. Donepezil. B. Scopolamine. C. Metoprolol. D. Acetaminophen.

Correct Answer is B

Explanation

Choice A rationale:

Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.

Choice B rationale:

Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.

Choice C rationale:

Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.

Choice D rationale:

Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.

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A nurse is administering spironolactone at 0800 to a client who has heart failure.The nurse should monitor the client for which of the following adverse effects?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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A nurse is administering spironolactone at 0800 to a client who has heart failure.
The nurse should monitor the client for which of the following adverse effects?