Nokea
A patient is receiving spironolactone for heart failure. Which of the following findings should the nurse report to the provider?
- A. Hyperkalemia
- B. Hypernatremia
- C. Hyponatremia
- D. Hypokalemia
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can lead to hyperkalemia due to its mechanism of action. Hyperkalemia, or elevated potassium levels, can result in serious cardiac complications and requires immediate medical attention. Therefore, the nurse should promptly report any signs or symptoms of hyperkalemia to prevent potential adverse outcomes in the patient.
You may also like to solve these questions
What is the therapeutic action of Phenytoin?
- A. Antidiabetic
- B. Anticonvulsant
- C. Mood stabilizer
- D. Antianxiety agent
Correct Answer: B
Rationale: Phenytoin is primarily used as an anticonvulsant to prevent and control seizures. It works by stabilizing electrical activity in the brain, making it effective in managing conditions like epilepsy. Antidiabetic medications are used to regulate blood sugar levels, mood stabilizers help manage mood disorders, and antianxiety agents are used to reduce anxiety symptoms, none of which are the primary therapeutic action of Phenytoin.
A client is being taught about taking Tetracycline to treat a GI infection caused by Helicobacter pylori. Which of the following statements should indicate to the nurse that the client understands the instructions?
- A. I will take this medication with 8 ounces of milk.
- B. I will inform my doctor if I experience diarrhea.
- C. I can discontinue this medication when I feel completely well.
- D. I can take this medication just before bedtime.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What are the Therapeutic Effects of Lithium?
- A. Prevents or decreases the incidence of acute manic episodes
- B. Maintenance of blood glucose
- C. Control of hyperglycemia in diabetic patients
- D. Diminished seizure activity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mandy, a patient, calls the clinic today because he is taking atorvastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
- A. Stop taking the drug and make an appointment to be seen next week.
- B. Continue taking the drug and make an appointment to be seen next week.
- C. Walk for at least 30 minutes and call if symptoms continue.
- D. Stop taking the drug and come to the clinic to be seen today.
Correct Answer: D
Rationale: Atorvastatin (Lipitor) is a statin medication used to lower cholesterol, but it can cause serious side effects such as myopathy or rhabdomyolysis, which present as muscle pain or weakness. Pain in both legs could indicate a severe adverse reaction. Stopping the medication and seeking immediate medical attention is crucial to prevent complications like kidney damage. Delaying treatment or continuing the medication without evaluation could worsen the condition. Therefore, the correct action is to stop the drug and come to the clinic to be seen today.
What is the appropriate medication to administer for a suspected opioid overdose in a patient who comes to the hospital?
- A. Exenatide
- B. Naloxone
- C. Heparin
- D. Tolvaptan
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.