Nokea
The nurse is teaching a patient who has a new prescription for spironolactone (Aldactone). Which statement by the patient indicated that the teaching was effective?
- A. I will use salt substitutes to lower my sodium intake
- B. I will increase my intake of foods that are high in potassium
- C. I will call my doctor if I begin having menstrual irregularities
- D. I will take this medication at bedtime each evening
Correct Answer: C
Rationale: Spironolactone is a potassium-sparing, aldosterone-blocking diuretic. As such, it can cause endocrine effects, such as gynecomastia, menstrual irregularities, impotence, hirsutism, and deepening of the voice. Patients taking spironolactone should avoid salt substitutes because they contain potassium; high-potassium foods should be avoided with this drug. Ideally, all diuretics should be taken in the morning to prevent nocturia.
You may also like to solve these questions
Radiotherapy is an effective modality of treatment in variable pediatric solid tumors. Of the following, the LEAST responsive tumor to radiotherapy is
- A. rhabdomyosarcoma
- B. neuroblastoma
- C. nephroblastoma
- D. osteosarcoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A toddler in the emergency department has partial thickness burns on his right arm. Which of the following actions should the nurse take?
- A. Insert a nasogastric tube
- B. Initiate prophylactic antibiotic therapy
- C. Cleanse the affected area with mild soap and water
- D. Apply a topical corticosteroid to the affected area
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why should a healthcare professional take time to get to know the things a family does together, their weekly routine, and an explanation of family dynamics?
- A. Involvement in family is central to best practice
- B. It is not necessary, but it is beneficial
- C. To gather demographic information for documentation purposes
- D. To assess if they have values that align with the practitioner's
Correct Answer: A
Rationale: Understanding the activities, routines, and dynamics of a family is crucial for a healthcare professional to provide holistic care. By gaining insight into the family's lifestyle and relationships, the professional can tailor interventions that are better integrated into the family's daily life, fostering more effective therapy outcomes and enhancing the overall quality of care provided.
During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:
- A. electrolyte disturbances.
- B. immune deficiencies.
- C. pulmonary hypertension.
- D. respiratory tract infections.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Extraneural metastasis from primary brain tumors is MOST commonly likely to occur in which tumor?
- A. medulloblastoma
- B. primitive neuroectodermal tumor (PNET)
- C. ependymoma
- D. malignant glioma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.