A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?
"I should notify the provider if I have increased thirst."
"I should consume foods high in potassium."
"I should use a salt substitute to season my foods."
"I should take this medication at bedtime."
The Correct Answer is A
A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diarrhea can be a symptom of an allergic reaction to a new food. It may indicate the body's immune response to the food allergen.
B. Bruising, fever, and jaundice are not typically associated with allergic reactions to food in infants. Bruising may be indicative of other issues such as trauma or bleeding disorders.
C. Fever is not a common symptom of food allergies in infants. Fever may indicate an infection or other underlying medical condition unrelated to food allergies.
D. Jaundice is not commonly associated with allergic reactions to food in infants. Jaundice may indicate liver or bile duct problems but is not typically related to food allergies.
Correct Answer is D
Explanation
A. Iron deficiency can lead to impaired immune function and may increase the risk of infections, but it is not typically characterized by an increased risk of infection.
B. Iron deficiency can cause fatigue and weakness, which may result in increased sleeping time rather than decreased sleeping time.
C. Iron deficiency does not typically cause an elevated temperature. Elevated temperature may be a sign of infection or other underlying medical conditions.
D. Lowered intellectual performance, including impaired cognitive function and difficulties with learning and memory, can occur as a result of iron deficiency anemia. Iron is essential for the proper functioning of the brain and nervous system, and inadequate iron intake can lead to cognitive deficits, especially in children.
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