What patient education should be given to a client going home with a new prescription for the potassium-sparing diuretic spironolactone?
You must check your heart rate before each dose
Do not take with acetaminophen as it may cause bleeding
Immediately report dry cough or blood sugar over 80
Avoid bananas, cantaloupe, and spinach
The Correct Answer is D
Choice A reason: This is incorrect because spironolactone does not affect the heart rate. Checking the heart rate before each dose is not necessary.
Choice B reason: This is incorrect because spironolactone does not interact with acetaminophen. Taking acetaminophen with spironolactone will not cause bleeding.
Choice C reason: This is incorrect because spironolactone does not cause dry cough or increase blood sugar. These are not signs of adverse effects of spironolactone.
Choice D reason: This is correct because spironolactone can cause hyperkalemia, which is a high level of potassium in the blood. Bananas, cantaloupe, and spinach are high-potassium foods that should be avoided by clients taking spironolactone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.71"]
Explanation
To calculate how many milliliters (mL) of the reconstituted medication the nurse should administer, we can use the following formula:
Desired dose (in mg) / Stock concentration (in mg/mL) = Volume to administer (in mL)
Given information:
Desired dose of ceftriaxone: 250 mg
Stock concentration after reconstitution: 350 mg/mL
Now let's calculate the volume to administer:
250 mg / 350 mg/mL = 0.7143 mL
Rounding to the nearest hundredth, the nurse should administer 0.71 mL of the reconstituted medication.
Correct Answer is ["69"]
Explanation
To calculate the amount of voriconazole to be administered, we can follow these steps:
Convert the client's weight from pounds to kilograms.
Calculate the total amount of voriconazole needed based on the client's weight.
Determine the volume of the medication to be administered based on the concentration of the available solution.
Let's proceed with the calculations:
Converting the client's weight from pounds to kilograms:
Client's weight = 127 lb
1 lb ≈ 0.453592 kg
Client's weight ≈ 127 lb 0.453592 kg/lb ≈ 57.61 kg
Calculating the total amount of voriconazole needed:
Voriconazole dose = 6 mg/kg 57.61 kg ≈ 345.66 mg
Determining the volume of the medication to be administered:
Available voriconazole concentration = 5 mg/mL
Volume to be administered = 345.66 mg / 5 mg/mL ≈ 69.132 mL
Rounding to the nearest whole number, the nurse should administer 69 mL of voriconazole.
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