A nurse is administering the first dose of ramipril to a client who has hypertension.
The client reports feeling dizzy and lightheaded.
Which of the following should the nurse administer?

Choice A rationale:

Hypernatremia (high sodium levels) is not a common side effect of spironolactone. Spironolactone is a potassium-sparing diuretic and does not typically affect sodium levels.

Choice B rationale:

Hyperkalemia (high potassium levels) is a potential adverse effect of spironolactone. As a potassium-sparing diuretic, spironolactone can cause an increase in serum potassium levels.

Choice C rationale:

Hypophosphatemia (low phosphate levels) is not typically associated with spironolactone use.

Choice D rationale:

Hypocalcemia (low calcium levels) is also not a common side effect of spironolactone.

Choice A rationale:

Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.

Choice B rationale:

Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.

Choice C rationale:

Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.

Choice D rationale:

Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.