A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?
"I should notify the provider if I have increased thirst."
"I should consume foods high in potassium."
"I should use a salt substitute to season my foods."
"I should take this medication at bedtime."
The Correct Answer is A
A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Limiting protein intake is important for individuals with chronic kidney disease to reduce the workload on the kidneys and minimize the accumulation of waste products in the blood. High protein intake can accelerate the progression of kidney damage.
B. Increasing phosphorus intake is not recommended for individuals with chronic kidney disease, as impaired kidney function can lead to elevated phosphorus levels in the blood, which can contribute to complications such as bone disease and cardiovascular issues.
C. Increasing potassium intake is typically not advised for individuals with chronic kidney disease, especially if they have elevated potassium levels (hyperkalemia), as this can further stress the kidneys and increase the risk of cardiac arrhythmias.
D. Limiting calcium intake may be necessary for individuals with certain types of kidney stones, but it is not a general recommendation for all individuals with chronic kidney disease. In fact, calcium is important for bone health, and individuals with chronic kidney disease are at
increased risk of bone mineral disorders.
Correct Answer is ["42"]
Explanation
Volume to infuse= 1000ml Duration= 24 hrs
Rate= volume/duration
=1000/24
= 41.67ml/hr
Rounded off to the nearest whole number = 42ml/hr
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