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

Explanation

A. Continue taking the medication as prescribed: Missing doses requires specific action.
B. Take two doses the next two days and use an additional form of contraception for 7 days: Missing two days of active pills requires the client to take two pills for the next two days and use backup contraception for 7 days.
C. Take one dose as soon as possible, continue oral contraceptive regimen, use additional contraception for 7 days: While taking one dose is correct, the second dose for two days is needed.
D. Use an alternative form of contraception only: An alternative method is necessary, but taking two pills for two days is also important.

A. Hypoglycemia B. Hypothyroidism C. Hypocalcemia D. Hyperkalemia

Correct Answer is C

Explanation

A. Calcium carbonate does not treat hypoglycemia. It is used to address low calcium levels, not blood sugar levels.
B. Calcium carbonate is not used to treat hypothyroidism. Hypothyroidism is treated with thyroid hormone replacement therapy (e.g., levothyroxine).
C. Calcium carbonate is commonly used to treat hypocalcemia (low calcium levels in the blood) and to prevent bone loss in conditions such as osteoporosis.
D. Calcium carbonate is not used to treat hyperkalemia (high potassium levels). Treatments for hyperkalemia may include medications like sodium bicarbonate or calcium gluconate, but not calcium carbonate.

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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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