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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["1.1"]

Explanation

To calculate the amount of cefazolin that the nurse should add to the 50 mL of 0.9% sodium chloride, we can use the following steps:

Calculate the amount of cefazolin needed to prepare the solution:

The concentration to be achieved is 225 mg/mL.
The required dose is 250 mg.

Calculate the volume of cefazolin needed:

250 mg ÷ 225 mg/mL = 1.111... mL
Rounded to the nearest tenth, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride.

Therefore, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride to prepare the solution for IV administration.

Correct Answer is ["125"]

Explanation

To calculate the rate at which the nurse should set the IV pump to deliver dextrose 5% in 0.45% sodium chloride over 24 hours, we can use the following steps:

Given:

Total IV fluid volume: 3 L

Infusion duration: 24 hours

Step 1: Convert the total IV fluid volume from liters (L) to milliliters (mL)

Total volume = 3 L × 1000 mL/L

Total volume = 3000 mL

Step 2: Calculate the rate of infusion per hour

Rate = Total volume / Infusion duration

Rate = 3000 mL / 24 hr

Rate ≈ 125 mL/hr

Rounding to the nearest whole number:

Rate ≈ 125 mL/hr

Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr for the infusion of dextrose 5% in 0.45% sodium chloride over 24 hours.

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What patient education should be given to a client going home with a new prescription for the potassium-sparing diuretic spironolactone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.1"]

Explanation

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 3 L IV to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

A nurse is preparing to administer belimumab 10 mg/kg via intermittent IV bolus to a client who weighs 136 lb. Available is belimumab 80 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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