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 D
Explanation
A. Controlled substances do not have the potential for abuse: This is incorrect, as controlled substances have varying degrees of abuse potential.
B. Controlled substances do not have the potential for dependence: This is incorrect, as many controlled substances have the potential for dependence.
C. Controlled substances do not have the potential for misuse: Controlled substances often have misuse potential, which is why they are regulated.
D. Controlled substances have a Schedule classification: This is correct. Controlled substances are classified into schedules based on their potential for abuse and dependence.
Correct Answer is D
Explanation
A. Loperamide (Imodium): This is an anti-diarrheal medication and does not protect mucosal ulcers.
B. Cimetidine (Tagamet HB): Cimetidine is an H2 blocker used to reduce stomach acid, but it does not form a protective barrier like sucralfate.
C. Docusate sodium (Colace): This is a stool softener and is not used for protecting gastric ulcers.
D. Sucralfate (Carafate): Sucralfate is a mucosal protectant that binds to the ulcer and creates a protective barrier, preventing further injury from stomach acid and pepsin.
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