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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.
Correct Answer is B
Explanation
A. Omeprazole is a proton pump inhibitor used to reduce stomach acid and treat conditions such as ulcers and gastroesophageal reflux disease. It is not typically associated with an increased risk of wound dehiscence.
B. Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence, particularly in high doses or when used for prolonged periods.
C. Zolmitriptan is a medication used to treat migraine headaches and is not associated with an increased risk of wound dehiscence.
D. Verapamil is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. It is not typically associated with an increased risk of wound dehiscence.
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