An older patient is started on spironolactone to control hypertension. The nurse knows to monitor for
a. hyperkalemia. c. confusion.
b. irregular heart rate. d. pulmonary edema.
A
Clinical considerations for mineralocorticoid antagonists (e.g., spironolactone, eplerenone) include that they are useful in hypertension when combined with other agents, cause potassium retention, and are not associated with adverse metabolic effects.
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When collecting a client's drug history, the nurse recognizes that both bone and muscle function can be most impaired if the client reports taking:
1. aspirin. 2. oral hypoglycemic agents. 3. corticosteroids. 4. potassium-sparing diuretics.
Which of the following represents a barrier to the provision of family-focused nursing care in the acute care setting?
1. Nurse's beliefs that family members often interfere with the ability to provide quality care to the hospitalized family member 2. Family beliefs about the need to protect their hospitalized member by being involved with decisions about nursing care 3. Nurse's successful mastery of technology and electronic medical record allowing the nurse time to answer questions of family members 4. Nurse's focus on family involvement in discharge planning at the time of hospital admission
To prevent the kidnapping of newborns from the hospital, the nurse should
a. Instruct the mother not to give her infant to anyone except the one nurse assigned to her that day. b. Question anyone who is seen walking in the hallways carrying an infant. c. Allow no visitors in the maternity area except those who have identification bracelets. d. Restrict the amount of time infants are out of the nursery.
The patient tells you that she uses herbal and other alternative therapies to maintain her health. This information is recorded in the:
a. past medical history. b. chief complaint. c. social history. d. family history.