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 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.

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

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Correct Answer is D

Explanation

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Explanation

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