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

Answer and Explanation

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.

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

Explanation

A. Hypoglycemia: Aspirin is not used to treat hypoglycemia.
B. Inflammation suppression: Aspirin is an anti-inflammatory medication that can help suppress inflammation.
C. Dysmenorrhea: Aspirin is commonly used to relieve pain associated with dysmenorrhea (menstrual cramps).
D. Hypokalemia: Aspirin is not used to treat hypokalemia.

A. This medication works in the high-ceiling loop diuretics work in the loop of Henle. It blocks the reabsorption of sodium and chloride and prevents the reabsorption of water, which causes extensive diuresis even with severe renal impairment B. This medication works in the distal tubule to block the reabsorption of sodium and chloride and prevents the reabsorption of water. C. This medication reduces intracranial pressure and intraocular pressure by raising serum osmolality and drawing fluid back into the vascular and extravascular space. D. This medication blocks the action of aldosterone (sodium and water retention), which results in potassium retention and the excretion of sodium and water.

Correct Answer is D

Explanation

A. This statement is incorrect because spironolactone is not a loop diuretic and does not act in the loop of Henle. It works in the distal tubules of the kidney.
B. This description is more accurate for thiazide diuretics. Spironolactone works as an aldosterone antagonist and primarily affects sodium and water retention.
C. This description applies to osmotic diuretics like mannitol, not spironolactone.
D. Spironolactone is a potassium-sparing diuretic that works by blocking aldosterone, preventing sodium and water retention, while promoting the retention of potassium.

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A nurse is monitoring a client who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

The client has been prescribed acetylsalicylic acid (Aspirin) by the healthcare provider. However, the client is not sure about the uses of aspirin. What of the following are the appropriate indications for aspirin? (Select All That Apply.).

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

Explanation

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Correct Answer is D

Explanation

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