A patient has been taking spironolactone (Aldactone) to treat heart failure. The nurse will monitor for

a. hyperkalemia.
b. hypermagnesemia.
c. hypocalcemia.
d. hypoglycemia.


ANS: A
Spironolactone is a potassium-sparing diuretic and can cause hyperkalemia.

Nursing

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An older adult patient has confusion, memory loss, and disorientation in familiar surroundings. The patient has been taking donepezil [Aricept] 10 mg once daily for 6 months

The patient's symptoms have begun to worsen, and the patient's spouse asks if the medication dose can be in-creased. What will the nurse tell the spouse? a. The dose can be increased, because the patient has been taking the drug for longer than 3 months. b. The dose can be increased to twice daily dosing instead of once daily dosing. c. The increase in symptoms is the result of hepatotoxicity from the medication's side effects. d. The patient must take the drug for longer than 1 year before the dose can be in-creased.

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A medication is set at 1414 to infuse at a rate of 55mL/hr. The volume of the medication is 140 mL. Calculate the infusion time and the completion time

What will be an ideal response?

Nursing

The nurse manager is coping with a staff member who is very resistant to change. Which strategy would be beneficial for this nurse manager?

1. Maintain open communication with this staff member to establish trust. 2. Help the staff member focus on parts of the change rather than on the whole change at one time. 3. Take over all of the processes of the change. 4. Ignore any hidden agendas brought by this staff member.

Nursing

A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect:

A. hair loss. B. stomatitis. C. fatigue. D. vomiting.

Nursing