A nurse in the emergency department is attending to a patient exhibiting symptoms of a myocardial infarction. Which of the following actions should the nurse prioritize?

Choice A rationale

As an advocate, the nurse acts to protect the patient’s rights and helps them to speak for themselves. This includes supporting the patient’s decisions, even when these decisions might not be in line with the nurse’s personal beliefs.

Choice B rationale

As a manager, the nurse coordinates activities of members of the nursing staff in delivering nursing care, and oversight ensures that care is safe, effective, and patient-centered.

Choice C rationale

As a caregiver, the nurse assists patients with meeting their physical, psychological, and developmental needs. This role involves direct patient care activities.

Choice D rationale

As an educator, the nurse works to enhance patients’ knowledge about their health and care, promoting health behaviors and self-care skills.

Choice A rationale

Phosphate levels are not directly affected by spironolactone. Spironolactone is a potassium- sparing diuretic and does not typically affect phosphate levels.

Choice B rationale

Decreased potassium level is not typically expected in a patient taking spironolactone. Spironolactone is a potassium-sparing diuretic, meaning it can actually lead to increased potassium levels. However, in the context of liver failure and ascites, other factors may influence potassium levels.

Choice C rationale

Chloride levels are not directly affected by spironolactone. Spironolactone primarily affects the balance of potassium and sodium in the body.

Choice D rationale

Sodium levels could potentially be decreased in a patient taking spironolactone, as it can cause the body to lose sodium. However, in the context of liver failure and ascites, sodium levels are often carefully managed.