A nurse is reviewing the medication administration record (MAR) of a client who has hypertension. The nurse notices that the client has been prescribed both lisinopril and spironolactone. Which of the following actions should the nurse take?

Administer both medications as ordered

Hold both medications and notify the provider

Hold lisinopril and administer spironolactone

Hold spironolactone and administer lisinopril

Answer and Explanation

The Correct Answer is B

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure by blocking the conversion of angiotensin I to angiotensin II, which causes vasoconstriction. Spironolactone is a potassium-sparing diuretic that lowers blood pressure by increasing urine output and preventing sodium and water reabsorption.

However, both medications can also increase potassium levels in the blood, which can lead to hyperkalemia, a potentially life-threatening condition. The nurse should hold both medications and notify the provider of this potential drug interaction.

Incorrect choices:

a) Administer both medications as ordered: This is incorrect as it exposes the client to the risk of hyperkalemia.

c) Hold lisinopril and administer spironolactone: This is incorrect as it does not eliminate the risk of hyperkalemia from spironolactone alone.

d) Hold spironolactone and administer lisinopril: This is incorrect as it does not eliminate the risk of hyperkalemia from lisinopril alone.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Consuming alcohol on a regular basis is a modifiable risk factor for developing breast cancer. The nurse should ask this question to assess the client's current lifestyle habits and provide education on reducing alcohol intake.

Incorrect choices:

a) "Have you ever had a mammogram?": This is incorrect as it does not assess a risk factor for developing breast cancer, but rather a screening method for detecting breast cancer.

b) "Do you perform monthly breast self-examinations?": This is incorrect as it does not assess a risk factor for developing breast cancer, but rather a preventive measure for early detection of breast cancer.

c) "Have you ever used oral contraceptives?": This is incorrect as it does not assess a current risk factor for developing breast cancer, but rather a past exposure that may or may not have an effect on the client's risk.

A. Increase the oxygen flow rate to 4 L/min B. Encourage the client to cough and deep breathe C. Administer bronchodilator medication as prescribed D. Maintain the current oxygen flow rate

Correct Answer is D

Explanation

Maintaining the current oxygen flow rate is the appropriate action for the nurse to take. Clients who have COPD have chronically low oxygen saturation levels and high carbon dioxide levels due to impaired gas exchange. Increasing the oxygen flow rate can cause oxygen toxicity and suppress the respiratory drive, leading to respiratory failure. The nurse should aim to keep the oxygen saturation level between 88% and 92% for clients who have COPD.

Incorrect choices:

a) Increase the oxygen flow rate to 4 L/min: This is incorrect as it can cause oxygen toxicity and suppress the respiratory drive, leading to respiratory failure.

b) Encourage the client to cough and deep breathe: This is incorrect as it can increase the work of breathing and cause fatigue and dyspnea in clients who have COPD.

c) Administer bronchodilator medication as prescribed: This is incorrect as it does not address the immediate issue of low oxygen saturation level. Bronchodilator medication can help improve airflow and reduce airway inflammation, but it does not directly increase oxygen delivery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the medication administration record (MAR) of a client who has hypertension. The nurse notices that the client has been prescribed both lisinopril and spironolactone. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health history interview with a client who has a family history of breast cancer. Which of the following questions should the nurse ask to assess the client's risk factors for developing breast cancer?

Correct Answer is D

Explanation

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is receiving oxygen therapy via nasal cannula at 2 L/min. The nurse observes that the client's oxygen saturation level is 88%. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is teaching a client who has diabetes mellitus about self-monitoring of blood glucose (SMBG). Which of the following statements by the client indicates a need for further teaching?

A nurse is reviewing the medication administration record (MAR) of a client who has hypertension. The nurse notices that the client has been prescribed both lisinopril and spironolactone. Which of the following actions should the nurse take?

A nurse is preparing to administer an intramuscular injection to a client who has a latex allergy. Which of the following actions should the nurse take?

A nurse is caring for a client who has been prescribed warfarin for atrial fibrillation. Which of the following laboratory tests should the nurse monitor to assess the effectiveness of the medication?