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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?

A.

You must check your heart rate before each dose

B.

Do not take with acetaminophen as it may cause bleeding

C.

Immediately report dry cough or blood sugar over 80

D.

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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Related Questions

Correct Answer is ["0.7"]

Explanation

To calculate the amount of epoetin that the nurse should administer, we can use the following formula:

Amount to administer (mL) = (Desired dose in units) / (Amount of drug in 1 mL)

Given:

Desired dose = 7,000 units

Amount of drug in 1 mL = 10,000 units/mL

Now, let's calculate the amount to administer:

Amount to administer (mL) = 7,000 units / 10,000 units/mL

Amount to administer (mL) = 0.7 mL

Rounding to the nearest tenth, the nurse should administer 0.7 mL of the epoetin.

Correct Answer is ["150"]

Explanation

To calculate the IV pump rate for the 0.9% sodium chloride 1,200 mL IV to infuse over 8 hours, we can use the following formula:

IV pump rate (mL/hr) = Total volume (mL) / Time (hr)

Using the given values:

Total volume = 1,200 mL

Time = 8 hours

Plugging these values into the formula:

IV pump rate = 1,200 mL / 8 hr

IV pump rate = 150 mL/hr

So, the nurse should set the IV pump to deliver 150 mL/hr to infuse the 1,200 mL of 0.9% sodium chloride over 8 hours.

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