Nokea
A client has a new prescription for spironolactone. The client should be monitored for which of the following adverse effects?
- A. Hyperkalemia
- B. Hyponatremia
- C. Hypokalemia
- D. Hypercalcemia
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia as an adverse effect. Hyperkalemia is characterized by elevated levels of potassium in the blood, which can be dangerous and lead to cardiac arrhythmias. Therefore, monitoring for signs and symptoms of hyperkalemia is crucial when a client is taking spironolactone.
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The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?
- A. Uterine contractions are continuous and sustained.
- B. The vaginal exam reveals that the client is entering transition.
- C. The client reports that the uterine contractions are strong in intensity.
- D. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Hydroxychloroquine to treat Lupus Erythematosus. Which of the following adverse effects should the nurse include in the teaching?
- A. Nausea
- B. Hair loss
- C. Eye damage
- D. Drowsiness
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with Parkinson's disease is prescribed levodopa/carbidopa (Sinemet). Which instruction should the nurse include?
- A. Take this medication with a high-protein meal.'
- B. Report dark urine immediately.'
- C. Rise slowly to avoid dizziness.'
- D. Stop the drug if you feel better.'
Correct Answer: C
Rationale: Levodopa/carbidopa treats Parkinson's by increasing dopamine, but vasodilation risks orthostatic hypotension. Rising slowly prevents falls, a key instruction for safety. High-protein meals reduce levodopa absorption via amino acid competition, decreasing efficacy. Dark urine isn't a typical concern'harmless pigment changes occur. Stopping if feeling better risks symptom return, as it's not a cure. Rising slowly aligns with the drug's side effect profile, critical in Parkinson's where mobility is impaired, making C the essential teaching point to ensure client stability and adherence.
A client has a new prescription for Hydrochlorothiazide. Which of the following instructions should the nurse include?
- A. Take the medication in the morning.
- B. Increase your intake of potassium-rich foods.
- C. Expect decreased urination within the first few days.
- D. Avoid foods high in potassium.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been prescribed Nitroglycerin patches for angina. Which of the following instructions should the nurse include during discharge teaching?
- A. Apply the patch to a different site each time.
- B. Remove the patch for 12 hours each day.
- C. Apply the patch at the same time every day.
- D. Cut the patch in half if your blood pressure is well controlled.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.