A nurse is preparing to administer spironolactone to a client. When reviewing the client's medical record, the nurse would be alert for the development of hyperkalemia if the client was also receiving which of the following?

A) Lisinopril (Prinivil)
B) Metoprolol (Lopressor)
C) Terazosin (Hytrin)
D) Diltiazem (Cardizem)


Ans: A
Feedback:
Spironolactone when given with ACE inhibitors (lisinopril) can lead to hyperkalemia. Hyperkalemia is not associated with the combination of spironolactone and metoprolol, terazosin, or diltiazem.

Nursing

You might also like to view...

The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery. Since surgery, the patient has had several instances of urinary incontinence

The health care provider is contemplating the order of a Foley catheter. What is the nurse's best response to this suggestion? a. "Perhaps you could order intermittent straight catheter insertions instead?" b. "I think it would be better to put a disposable undergarment on her." c. "Could we try a toileting schedule before you order the Foley?" d. "I think that is a good idea; it will prevent skin breakdown."

Nursing

Which of the following supports the automation of nursing documentation? Standard Text: Select all that apply

1. The use of standardized nursing languages (SNLs) accepted by the American Nurses Association 2. The use of a SOAP note in narrative form to support assessment of client cardiopulmonary system 3. The use of interventions such as "turn, cough, and deep breathe" as determined by the Nursing Interventions Classifications (NIC) 4. The use of client-specific charting by exception, addressing only exceptions to normal 5. The use of nursing diagnoses such as "Alteration of Comfort" as defined by the North American Nursing Diagnosis Association (NANDA)

Nursing

A nurse is studying the increased infant mortality rate at a local hospital in a largely African American community. The nurse notes that there are very few options for prenatal care in the community and recognizes that this is an example of

A. Health disparity B. Health inequity C. Health injustice D. Social determinant of health

Nursing

The client is 36 years old, weighs 250 pounds, is monogamous, does not smoke, and desires birth control

In preparing an educational session for this client, the nurse understands that which of the following methods is inappropriate for this client? A. Intrauterine device B. Vaginal sponge C. Combined oral contraceptives D. Transdermal hormonal contraception

Nursing