Nokea
A client is prescribed metolazone. As part of the client's teaching plan, the nurse instructs the client to increase his consumption of potassium-rich foods. The nurse determines that the teaching was successful when the client identifies which of the following as a good choice? Select all that apply.
- A. Bananas
- B. Shrimp
- C. Asparagus
- D. Salmon
- E. Peanuts
Correct Answer: A,C,D,E
Rationale: The top 10 foods with the highest amount of potassium per serving include white beans, dark leafy greens, baked potatoes with skin on, dried apricots, acorn squash, plain low-fat yogurt, salmon, avocado, mushrooms, and bananas.
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A nurse administers a thiazide diuretic to a client with renal compromise as prescribed by the primary health care provider. Which action by the nurse would be most appropriate if the client's blood urea nitrogen level increases?
- A. Give prescribed magnesium supplements
- B. Withhold the next dose of the drug
- C. Administer the drug in a diluted form
- D. Increase the fluid intake for the client
Correct Answer: B
Rationale: The nurse should withhold the drug or discontinue its use if the blood urea nitrogen (BUN) rises in the client with renal compromise.
A physician has prescribed bumetanide for a client with high blood pressure who also has renal insufficiency. Which of the following instructions should the nurse include in the teaching plan for this client?
- A. Avoid salt substitutes containing potassium
- B. Avoid over-the-counter drugs for cold symptoms
- C. Always take the drug before meals
- D. Omit the drug dose when feeling dizzy
Correct Answer: B
Rationale: The nurse should instruct the hypertensive client to avoid medications that increase blood pressure, such as OTC drugs for appetite suppression and cold symptoms.
Prior to the administration of furosemide (Lasix), a nurse would assess which of the following? Select all that apply.
- A. Weight
- B. Blood glucose
- C. Pulse
- D. Temperature
- E. Respiratory rate
Correct Answer: A,C,D,E
Rationale: Before administering furosemide (Lasix), the nurse takes the vital signs (blood pressure, pulse, temperature, respiratory rate, and weight).
A nurse is caring for a client with edema. The physician has prescribed diuretic therapy for the client. Which of the following would be most appropriate for the nurse to do?
- A. Ask the client to decrease fluid intake
- B. Gradually increase the drug dosage
- C. Administer the drug early in the day
- D. Encourage the client to exercise
Correct Answer: C
Rationale: The nurse should administer the drug early in the day to prevent any nighttime sleep disturbance caused by increased urination.
A nurse is preparing to administer spironolactone to a client. The nurse would contact the primary health care provider about the need to change the order if the client has a history of which of the following?
- A. Hyperkalemia
- B. Liver disease
- C. Gout
- D. Diabetes
Correct Answer: A
Rationale: Potassium-sparing diuretics are contraindicated in clients with hyperkalemia.