The nurse is teaching a patient about the loss of potassium when taking diuretics. The physician started this patient on spironolactone (Aldactone). Which is a special characteristic of this diuretic?

a. It blocks active transport of sodium and potassium excretion.
b. It is used when there is high renal filtration.
c. It affects the exchange of sodium and potassium excretion.
d. It gives a peak effect in diuretic use.


ANS: C
Potassium-sparing diuretics increase the excretion of water and sodium but save potassium.

Nursing

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The nurse is counseling an HIV-positive woman who has just given birth to a baby. The nurse should advise the client to

a. anticipate the needs of her child immediately and make arrangements for place-ment in a setting where her child's life will be comfortable. b. avoid breast-feeding her infant if she has access to a safe water supply to decrease the chances of vertical transmission. c. report all of her sexual partners to the infectious disease department in order to break the chain of transmission of the disease. d. seek professional counseling to deal with the guilt associated with the almost certain passing of the disease to her child.

Nursing

The nurse is working with a client who has a chronic mental illness. Which goal should be the nurse's priority?

A. Increase the client's ability to deal with challenges. B. Assist the client to develop coping skills. C. Assess for circumstances that may contribute to mental health difficulties. D. Maintain the client's level of function and prevent frequent hospitalizations.

Nursing

During the newborn assessment, a systolic blood pressure that is higher in the legs than in the arms is suggestive of which of the following findings?

1. Cardiac arrhythmia 2. Coarctation of the aorta 3. Chromosome abnormality 4. A normal finding for an infant

Nursing

Identify the mechanism(s) involved in acid–base balance. Choose all that apply

1) Respiratory mechanisms 2) Active transport mechanisms 3) Renal mechanisms 4) Buffer systems

Nursing