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 D
Explanation
Choice A reason: This choice is incorrect because it does not provide a numerical answer to the question.
Choice B reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is lower than the correct one, which is not true.
Choice C reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is higher than the correct one, which is not true.
Choice D reason: This choice is correct because it is the result of dividing the ordered dose (3.5 mg) by the concentration of the vial (1 mg/mL). The formula for calculating the volume to be drawn up is:
Volume = Dose/Concentration
Therefore, the volume to be drawn up is:
Volume = 3.5 mg/(1 mg/mL) = 3.5 mL
Correct Answer is ["8 mL"]
Explanation
To calculate the amount of belimumab that the nurse should administer, we can use the following steps:
Convert the patient's weight from pounds to kilograms.
Multiply the patient's weight in kilograms by the dosage of belimumab (10 mg/kg) to find the total dosage required.
Determine the volume of the drug needed using the concentration of the available belimumab solution.
Given:
Patient's weight = 136 lb
Dosage of belimumab = 10 mg/kg
Available concentration of belimumab = 80 mg/mL
Let's calculate step by step:
Convert patient's weight from pounds to kilograms:
Patient's weight in kg = 136 lb × (1 kg / 2.2 lb) ≈ 61.8 kg
Calculate the total dosage required:
Total dosage = 10 mg/kg × 61.8 kg ≈ 618 mg
Determine the volume of the drug needed using the concentration of the available belimumab solution:
Volume of drug = Total dosage / Concentration of belimumab
Volume of drug = 618 mg / 80 mg/mL ≈ 7.7 mL
Rounding to the nearest whole number, the nurse should administer 8 mL of the belimumab.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.