Nokea
A client is prescribed Spironolactone. Which of the following laboratory findings should the nurse monitor and report to the provider?
- A. Sodium level of 138 mEq/L
- B. Potassium level of 5.2 mEq/L
- C. Chloride level of 100 mEq/L
- D. Calcium level of 9.5 mg/dL
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, meaning it can cause potassium retention, leading to elevated potassium levels. A potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L) and indicates hyperkalemia, which can be a serious condition. Therefore, this finding should be promptly reported to the healthcare provider for further evaluation and management to prevent potential complications.
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A client will start Alfuzosin for the treatment of Benign Prostatic Hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of this medication?
- A. Bradycardia
- B. Edema
- C. Hypotension
- D. Tremor
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Prednisone. Which of the following instructions should be included in the discharge teaching?
- A. Increase your intake of potassium-rich foods.
- B. Avoid consuming grapefruit juice.
- C. Take this medication with food.
- D. Decrease your intake of sodium-rich foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with Diabetes who is experiencing Nausea due to Gastroparesis may require a prescription for which of the following medications?
- A. Lubiprostone
- B. Metoclopramide
- C. Bisacodyl
- D. Loperamide
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is prescribed Propranolol for dysrhythmia. Which action should the nurse plan to take?
- A. Hold Propranolol if the client's apical pulse is greater than 100/min.
- B. Monitor the client's blood pressure after administering Propranolol.
- C. Assist the client when transitioning to a sitting or standing position after taking Propranolol.
- D. Monitor the client's potassium levels for signs of Propranolol toxicity.
Correct Answer: C
Rationale: The correct action the nurse should plan to take when administering Propranolol to a client with dysrhythmia is to assist the client when transitioning to a sitting or standing position. Propranolol can cause orthostatic hypotension, leading to dizziness during position changes, so it is essential to help the client move slowly to prevent falls or injuries.
A client has a new prescription for metronidazole. The client should avoid which of the following?
- A. Dairy products
- B. Alcohol
- C. Leafy green vegetables
- D. Grapefruit juice
Correct Answer: B
Rationale: The correct answer is B: Alcohol. Clients should avoid alcohol while taking metronidazole to prevent a disulfiram-like reaction, which can cause symptoms such as nausea, vomiting, headache, and flushing. It is important to educate clients on the potential interactions between metronidazole and alcohol to ensure the effectiveness of the medication and prevent adverse reactions.