A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

"You will lose less potassium with spironolactone than with furosemide."

"You will have greater potassium losses with spironolactone than with furosemide."

"You will have greater water losses with spironolactone than with furosemide."

"You will have greater sodium losses with spironolactone than with furosemide."

Answer and Explanation

The Correct Answer is A

A. Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium while promoting sodium and water excretion. This makes it advantageous for clients who may be at risk for hypokalemia with furosemide, which can lead to significant potassium loss.

B. This statement is incorrect; spironolactone causes less potassium loss compared to furosemide, making it a better option for those needing to maintain potassium levels.

C. This statement is misleading; spironolactone does promote diuresis but does not cause greater water losses than furosemide.

D. This is incorrect; while spironolactone does promote sodium excretion, it does not do so to a greater extent than furosemide, which is a more potent diuretic.

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Correct Answer is A

Explanation

A. Pseudoephedrine is a decongestant that can raise blood pressure and cause increased heart rate, so it is essential to assess the patient’s history of hypertension before starting this medication.

B. While a dry cough may be relevant for other medications, it is not a primary concern when assessing for the use of pseudoephedrine.

C. Recent use of antibiotics is not directly related to the safety of using pseudoephedrine and is not a typical concern.

D. A history of seizures is not a specific contraindication for using pseudoephedrine, although it may warrant caution in some cases.

A. Auscultating bowel sounds B. Monitoring urine output C. Monitoring heart rate D. Administering an antidiarrheal agent E. Assessing deep tendon reflexes

Correct Answer is ["A","B","C"]

Explanation

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

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A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient taking fexofenadine (second-generation antihistamine) also wants to start using pseudoephedrine for nasal congestion. What should the nurse assess for prior to starting pseudoephedrine?

Correct Answer is A

Explanation

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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