When providing medication te”ching to a client who has been prescribed spironolactone for hypertension, what foods should the nurse instruct the client to avoid?

Apples

Fish

Crackers

Bananas

Answer and Explanation

The Correct Answer is D

A) Apples:
Apples are not contraindicated with spironolactone use. There are no known interactions between spironolactone and apples.

B) Fish:
Fish is not contraindicated with spironolactone use. There are no known interactions between spironolactone and fish.

C) Crackers:
Crackers are not contraindicated with spironolactone use. There are no known interactions between spironolactone and crackers.

D) Bananas:
Bananas are high in potassium, and spironolactone is a potassium-sparing diuretic. Ingesting potassium-rich foods such as bananas while taking spironolactone can increase the risk of hyperkalemia. Therefore, the nurse should instruct the client to avoid consuming large amounts of potassium-rich foods like bananas to prevent adverse effects."

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Correct Answer is A

Explanation

This is the correct response. ACE inhibitors are known to cause a persistent, dry, and irritating cough in some individuals. This adverse effect occurs due to the accumulation of bradykinin and other substances in the lungs, leading to increased sensitivity of the cough reflex. The cough typically resolves upon discontinuation of the ACE inhibitor.

B) Respiratory depression:
Respiratory depression is not a common side effect of ACE inhibitors. ACE inhibitors do not directly affect respiratory drive or function in the central nervous system. Therefore, this option is incorrect.

C) Spontaneous pneumothorax:
Spontaneous pneumothorax is not a typical adverse effect associated with ACE inhibitor use. ACE inhibitors do not directly cause the development of pneumothorax, which is characterized by the presence of air in the pleural space. Therefore, this option is incorrect.

D) Pneumonia:
While ACE inhibitors can increase the risk of respiratory infections due to their effect on the immune system, pneumonia is not a specific adverse effect associated with ACE inhibitor use. Pneumonia is typically caused by infectious agents such as bacteria, viruses, or fungi, rather than being a direct effect of ACE inhibitors. Therefore, this option is incorrect.”

Correct Answer is ["35"]

Explanation

Here's the calculation:

Total volume of enteral nutrition (mL): 840 mL

Infusion time (hours): 24 hours

Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours)

Flow rate (mL/hr) = 840 mL / 24 hours = 35 mL/hr (round to nearest whole number as requested)

Therefore, the nurse should program the pump to deliver 35 mL/hr.

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When providing medication te”ching to a client who has been prescribed spironolactone for hypertension, what foods should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

ACE inhibitors work on the RAAS to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is usually the site of this conversion, the use of ACE inhibitors often results in

Correct Answer is A

Explanation

Correct Answer is ["35"]

Explanation

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