Exhibits
For each instruction, click to indicate whether the instructions given by the nurse are indicated or contraindicated to prepare for the client's first dose of captopril.
Increase the lantus dose by 3 units the morning of the first dose.
Limit fluids for several days before the first dose.
Hold spironolactone for 3 days.
Lay down if the blood pressure drops quickly after the first dose.
Monitor blood pressure for several hours after the first dose.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Indicated Instructions:
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Hold spironolactone for 3 days (Choice D):
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Lay down if the blood pressure drops quickly after the first dose (Choice E):
Contraindicated Instructions:
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Increase the lantus dose by 3 units the morning of the first dose (Choice B):
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Limit fluids for several days before the first dose (Choice C):
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Monitor blood pressure for several hours after the first dose (Choice B):
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is D
Explanation
Choice A rationale: This instruction is not directly related to spironolactone use or hyperaldosteronism. Excessive bruising may be relevant in some situations but not specifically for this scenario.
Choice B rationale: While heart failure patients are often advised to reduce their sodium intake, the use of a salt substitute (potassium-based) would be contraindicated in this case due to the risk of hyperkalemia.
Choice C rationale: This instruction is not directly related to spironolactone use or
hyperaldosteronism. It may be relevant for sun protection, but it is not a priority in this context.
Choice D rationale: Spironolactone is a potassium-sparing diuretic, which means it helps the body retain potassium while excreting sodium and water. Since the client has heart failure (HF), there is a risk of hyperkalemia (high potassium levels) associated with spironolactone use. To prevent this, the nurse should instruct the client to limit their intake of high-potassium foods, such as bananas, oranges, tomatoes, spinach, and other potassium-rich foods.
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