A patient is taking spironolactone and comes to the clinic complaining of weakness and tingling of the hands and feet. The primary care NP notes a heart rate of 62 beats per minute and a blood pressure of 100/58 mm Hg. The NP should:
a. obtain a serum drug level.
b. order an electrocardiogram (ECG) and serum electrolytes.
c. change the medication to a thiazide diuretic.
d. question the patient about potassium intake.
B
The patient is showing signs of hyperkalemia, so the NP should order an ECG and serum electrolytes. This should be done before changing the medication. Because hyperkalemia can cause fatal arrhythmias, an ECG is necessary.
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a. Symptoms of hypoglycemia are present. b. Low blood glucose levels are documented when symptoms are present. c. Symptoms can be reproduced with an in-jection of regular insulin, 10 units. d. Muscular activity does not have any effect on blood glucose. e. Symptoms improved when the blood glu-cose level rises.
The nurse is alert for complications of polycythemia, which include: (Select all that apply.)
a. Indication of increased cardiac workload b. Thromboembolism c. Cyanosis d. Hypotension e. Cardiovascular accident
The nurse is caring for a patient who is undergoing detoxification from alcohol. Which supplement can the nurse expect to be included in the prescribed medications?
a. Potassium chloride b. Thiamine c. Riboflavin d. Folic acid
The nurse is teaching a client about parenteral medication administration. Which routes of administration should the nurse include in the teaching? (Select all that apply.)
1. Oral 2. Intravenous infusion 3. Intramuscular injection 4. Vaginal 5. Sublingual