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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Correct Answer is ["4.5"]

Explanation

To calculate the dose of ondansetron that the nurse should administer, we can follow these steps:

Convert the client's weight from pounds to kilograms:

132 lb ÷ 2.2 = 60 kg

Calculate the dose of ondansetron:

0.15 mg/kg × 60 kg = 9 mg

Determine the volume of ondansetron needed using the available concentration:

9 mg ÷ 2 mg/mL = 4.5 mL

Rounding to the nearest tenth, the nurse should administer 4.5 mL of ondansetron via IV.

A. No answer is provided B. No answer is too low C. No answer is too high D. 3.5

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

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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

A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a client who weighs 132 lb. Available is ondansetron 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4.5"]

Explanation

Order: Metoprolol 3.5 mg IV push On hand: 1 mg/mL vials How many milliliters will the nurse draw up to administer this dose?

Correct Answer is D

Explanation

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