What patient education should be given to a client going home with a new prescription for the potassium-sparing diuretic spironolactone?
You must check your heart rate before each dose
Do not take with acetaminophen as it may cause bleeding
Immediately report dry cough or blood sugar over 80
Avoid bananas, cantaloupe, and spinach
The Correct Answer is D
Choice A reason: This is incorrect because spironolactone does not affect the heart rate. Checking the heart rate before each dose is not necessary.
Choice B reason: This is incorrect because spironolactone does not interact with acetaminophen. Taking acetaminophen with spironolactone will not cause bleeding.
Choice C reason: This is incorrect because spironolactone does not cause dry cough or increase blood sugar. These are not signs of adverse effects of spironolactone.
Choice D reason: This is correct because spironolactone can cause hyperkalemia, which is a high level of potassium in the blood. Bananas, cantaloupe, and spinach are high-potassium foods that should be avoided by clients taking spironolactone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.1"]
Explanation
To calculate the amount of tobramycin that the nurse should administer per dose, we can use the following steps:
Calculate the total daily dosage required based on the client's weight and the prescribed dosage.
Determine the dosage per each of the three divided doses.
Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution.
Given:
Client's weight = 85 kg
Prescribed dosage = 3 mg/kg/day
Available concentration of tobramycin = 40 mg/mL
Let's calculate step by step:
Calculate the total daily dosage required:
Total daily dosage = 3 mg/kg/day × 85 kg = 255 mg/day
Determine the dosage per each of the three divided doses:
Dosage per dose = Total daily dosage / 3 = 255 mg / 3 = 85 mg
Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution:
Volume of drug per dose = Dosage per dose / Concentration of tobramycin
Volume of drug per dose = 85 mg / 40 mg/mL ≈ 2.1 mL
Rounding to the nearest tenth, the nurse should administer 2.1 mL of the tobramycin per dose.
Correct Answer is ["83"]
Explanation
To calculate the IV flow rate in drops per minute, we can use the following formula:
IV flow rate (gtt/min) = (Volume to be infused in mL drop factor) / Time in minutes
Given:
Volume to be infused = 250 mL
Drop factor = 10 gtt/mL
Time = 30 minutes
Using the formula:
IV flow rate = (250 mL 10 gtt/mL) / 30 min
IV flow rate ≈ (2500 gtt) / 30 min
IV flow rate ≈ 83.33 gtt/min
Rounding to the nearest whole number, the nurse should set the manual IV flow rate to deliver 83 gtt/min.
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