Which of the following disorders would lead the health care provider to question an order for spironolactone (Aldactone)?
a. Primary aldosteronism
b. Edema due to cirrhosis
c. Anuria due to renal failure
d. Nephrotic syndrome
ANS: C
Potassium-sparing diuretics such as spironolactone are contraindicated for use in patients with anuria or renal impairment.
You might also like to view...
The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis?
A) Incentive spirometry B) Intermittent positive-pressure breathing (IPPB) C) Positive end-expiratory pressure (PEEP) D) Bronchoscopy
A nurse is triaging clients in the emergency department. Which client complaint would the triage nurse classify as nonurgent?
a. Chest pain and diaphoresis b. Decreased breath sounds due to chest trauma c. Left arm fracture with palpable radial pulses d. Sore throat and a temperature of 104° F
Greta Mitchell is a nurse in an urban high school who has a significant number of pregnant girls attending her school. Greta is extremely concerned with the problems related to teen pregnancy. These include all of the following except
1. Children of teen parents tend to score lower on IQ tests and have more problems in school. 2. Health risks to the infant during pregnancy (e.g., prematurity and low birth weight) are greater in teens. 3. Teen mothers are less likely to finish high school and more likely to have low incomes and be welfare dependent. 4. Teen pregnancy appears to contribute to increases in substance use and abuse.
Pain is
A) a warning of something wrong. B) normal in aging individuals. C) the nurses' responsibility. D) normal in ill individuals.