A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?

Mannitol

Spironolactone

Hydrochlorothiazide

Furosemide

Answer and Explanation

The Correct Answer is B

A) Mannitol:
Mannitol is an osmotic diuretic that works by increasing the osmotic pressure in the glomerular filtrate, leading to increased urine output. It is not associated with causing hyperkalemia.

B) Spironolactone:
This is the correct choice. Spironolactone is a potassium-sparing diuretic that can put clients at risk for hyperkalemia. It works by blocking the action of aldosterone in the distal tubules of the kidneys, leading to decreased sodium reabsorption and increased potassium retention.

C) Hydrochlorothiazide:
Hydrochlorothiazide is a thiazide diuretic that promotes the excretion of sodium and water and can lead to potassium depletion (hypokalemia) rather than hyperkalemia.

D) Furosemide:
Furosemide is a loop diuretic that inhibits sodium and chloride reabsorption in the ascending loop of Henle. It can lead to potassium depletion (hypokalemia) rather than hyperkalemia.

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Correct Answer is C

Explanation

Quantitative research involves the collection and analysis of numerical data to answer research questions and test hypotheses. Statistical methods are used to analyze the data and draw conclusions about relationships, differences, or effects.

A. "Quantitative research aims to understand the feelings associated with a particular event":

This statement is incorrect. Quantitative research focuses on measurable data and is concerned with objective observations rather than subjective feelings or experiences.

B. "Qualitative research studies how to implement EBP into various settings":

This statement is incorrect. Qualitative research explores subjective experiences, perceptions, and meanings to gain a deeper understanding of phenomena. It is not specifically focused on implementing evidence-based practice (EBP) into various settings.

D. "Qualitative research uses larger sample sizes than quantitative research":

This statement is incorrect. Qualitative research typically involves smaller sample sizes compared to quantitative research. The emphasis in qualitative research is on depth and richness of data rather than statistical generalizability.

A. Heart rate of 66/min B. BP of 148/94 mm Hg C. Peripheral edema of the ankles D. A digoxin level of 1.2 ng/mL.

Correct Answer is C

Explanation

(a) Heart rate of 66/min:
A heart rate of 66/min is within the normal range (60-100 bpm) and does not typically require contacting the provider before administering a calcium channel blocker. CCBs can affect heart rate, but this finding alone is not a contraindication for their use.

(b) BP of 148/94 mm Hg:
A blood pressure reading of 148/94 mm Hg indicates hypertension, which is an appropriate indication for the use of calcium channel blockers. This finding supports the use of the medication rather than requiring the provider to be contacted.

(c) Peripheral edema of the ankles:
Peripheral edema is a known side effect of calcium channel blockers. If the client is already experiencing edema, administering the medication could potentially worsen this condition. The nurse should contact the provider to discuss this finding before proceeding with the medication administration.

(d) A digoxin level of 1.2 ng/mL:
A digoxin level of 1.2 ng/mL is within the therapeutic range (0.5-2.0 ng/mL). This finding does not necessitate contacting the provider before administering a calcium channel blocker, as it does not indicate toxicity or a contraindication for CCB use

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A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is discussing qualitative and quantitative research with a newly licensed nurse. Which of the following statements should the charge nurse make?

Correct Answer is C

Explanation

A nurse is collecting data from a client prior to administering a calcium channel blocker (CCB) for treatment of hypertension. For which of the following findings should the nurse contact the provider?

Correct Answer is C

Explanation

A nurse is collecting data on a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?

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A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

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