The nurse is caring for a patient receiving spironolactone to treat hypertension. Which instruction should the nurse give the patient?
A) Choose foods high in potassium.
B) Take potassium supplements each day.
C) Discontinue sodium restrictions.
D) Avoid salt substitutes.
Ans: D
Feedback: Because spironolactone is a potassium-sparing diuretic, the client should be taught to avoid salt substitutes because they have high potassium content. Foods high in potassium and potassium supplements should be avoided. Sodium restrictions should continue to reduce fluid volume overload.
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A patient presents to the emergency department after falling from a ladder at home. He has multiple contusions and abrasion on his right side and is holding his right arm tightly across his chest. On inspection, the nurse notes that the patient's trachea is slight displaced toward the left. Which nursing intervention is priority?
1. Have the patient release his arm and sit up straight for reassessment. 2. Notify the emergency room physician immediately. 3. Auscultate the patient's lung fields. 4. Position the patient flat in bed without a pillow.
As part of the immediate care plan for a client with pulmonary edema and a nursing diagnosis of Impaired Gas Exchange, the nurse would
a. administer oxygen as ordered using a high-flow rebreather bag. b. bring a tracheostomy set to the bedside. c. monitor vital signs every 30 to 45 minutes until stable. d. position the client's legs above heart level.
A 53-year-old woman at menopause is discussing the use of hormone therapy (HT) with the nurse. Which information about the risk of breast cancer will the nurse provide?
a. HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes. b. HT does not appear to increase the risk for breast cancer unless there are other risk factors. c. The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer. d. Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.
A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of intimate partner violence (IPV)?
a. The woman and her partner are having an argument that is loud and hostile. b. The woman has injuries on various parts of her body that are in different stages of healing. c. Examination reveals a fractured arm and fresh bruises. d. She avoids making eye contact and is hesitant to answer questions.