A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?

Mannitol

Spironolactone

Hydrochlorothiazide

Furosemide

Answer and Explanation

The Correct Answer is B

A) Mannitol:
Mannitol is an osmotic diuretic that works by increasing the osmotic pressure in the glomerular filtrate, leading to increased urine output. It is not associated with causing hyperkalemia.

B) Spironolactone:
This is the correct choice. Spironolactone is a potassium-sparing diuretic that can put clients at risk for hyperkalemia. It works by blocking the action of aldosterone in the distal tubules of the kidneys, leading to decreased sodium reabsorption and increased potassium retention.

C) Hydrochlorothiazide:
Hydrochlorothiazide is a thiazide diuretic that promotes the excretion of sodium and water and can lead to potassium depletion (hypokalemia) rather than hyperkalemia.

D) Furosemide:
Furosemide is a loop diuretic that inhibits sodium and chloride reabsorption in the ascending loop of Henle. It can lead to potassium depletion (hypokalemia) rather than hyperkalemia.

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Correct Answer is C

Explanation

(A) Review the client's toxicology laboratory report:
While reviewing the toxicology report is important to understand any substances that may have been ingested, it is not the immediate priority compared to ensuring the client's safety.

(B) Administer the Hamilton depression scale:
Administering the Hamilton depression scale can help assess the severity of the client's depression, but immediate safety measures take precedence over assessment tools upon admission after a suicide attempt.

(C) Initiate one-to-one nursing observation:
Initiating one-to-one nursing observation is the most immediate and crucial action to ensure the client's safety. After a suicide attempt, continuous observation is essential to prevent further self-harm and ensure the client's immediate safety.

(D) Make a contract with the client for weight gain:
While addressing anorexia nervosa and making a contract for weight gain is important for the client's long-term treatment plan, it is not the first priority. Ensuring immediate safety through continuous observation is the most critical initial step.

A. Heart rate of 66/min B. BP of 148/94 mm Hg C. Peripheral edema of the ankles D. A digoxin level of 1.2 ng/mL.

Correct Answer is C

Explanation

(a) Heart rate of 66/min:
A heart rate of 66/min is within the normal range (60-100 bpm) and does not typically require contacting the provider before administering a calcium channel blocker. CCBs can affect heart rate, but this finding alone is not a contraindication for their use.

(b) BP of 148/94 mm Hg:
A blood pressure reading of 148/94 mm Hg indicates hypertension, which is an appropriate indication for the use of calcium channel blockers. This finding supports the use of the medication rather than requiring the provider to be contacted.

(c) Peripheral edema of the ankles:
Peripheral edema is a known side effect of calcium channel blockers. If the client is already experiencing edema, administering the medication could potentially worsen this condition. The nurse should contact the provider to discuss this finding before proceeding with the medication administration.

(d) A digoxin level of 1.2 ng/mL:
A digoxin level of 1.2 ng/mL is within the therapeutic range (0.5-2.0 ng/mL). This finding does not necessitate contacting the provider before administering a calcium channel blocker, as it does not indicate toxicity or a contraindication for CCB use

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A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is collecting data from a client prior to administering a calcium channel blocker (CCB) for treatment of hypertension. For which of the following findings should the nurse contact the provider?

Correct Answer is C

Explanation

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