A nurse is monitoring a client who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider?
Blood potassium 3.9 mEq/L
Urine output 500 ml in 5 hours
Blood potassium 8 mEq
Urine output 200 mL in 4 hours
The Correct Answer is C
A. A blood potassium level of 3.9 mEq/L is normal and does not require intervention.
B. Urine output of 500 mL in 5 hours is not concerning and is within the expected range.
C. A blood potassium level of 8 mEq/L is dangerously high, indicating hyperkalemia, which can lead to life-threatening arrhythmias.
D. Urine output of 200 mL in 4 hours could be a concern for dehydration or renal issues, but it is not directly related to spironolactone use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morphine is an opioid agonist, not an antagonist. It binds to the mu and kappa receptors to produce its analgesic effects.
B. Morphine sulfate is an opioid analgesic that works by binding to the mu and kappa receptors in the brain and spinal cord, which produces pain relief.
C. This statement is not accurate. Morphine sulfate typically has a stronger analgesic effect than butorphanol, a partial opioid agonist.
D. Morphine sulfate has a high potential for abuse due to its euphoric effects and is classified as a controlled substance.
Correct Answer is A
Explanation
A. Relief of muscle spasms related to muscle injury: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms and pain from musculoskeletal injuries.
B. Treatment of malignant hyperthermia: Cyclobenzaprine is not used for malignant hyperthermia.
C. Treatment of osteoporosis: Cyclobenzaprine is not used to treat osteoporosis.
D. Treatment of migraines: Cyclobenzaprine is not used for migraines
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