What are the therapeutic uses of Spironolactone?
What will be an ideal response?
- Combined with other diuretics for potassium-sparing effects to treat hypertension and edema
- For heart failure
- Blocks actions of aldosterone in hyperaldosteronism which causes opposite effect of aldosterone in distal nephrons
-Effects can take up to 12-48 hrs
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Order for the PCA: Morphine sulfate 30 mg/30 mL Maximum dose: 28 mg in 4 hours Continuous dose: 1 mg/hr PCA dose: 1 mg Lockout: q10 min The client has received a total of 14 mg in 4 hours. How many milligrams of the total dose are from the PCA dose? _____
a. 10 b. 4 c. 14 d. 28
A patient has a Pseudomonas aeruginosa infection that is sensitive to aminoglycosides, and the prescriber orders gentamicin
The patient tells the nurse that a friend received amikacin [Amikin] for a similar infection and wonders why amikacin was not ordered. What will the nurse tell the patient? a. "Amikacin is given when infectious agents are resistant to other aminoglycosides." b. "Amikacin is more vulnerable to inactiva-tion by bacterial enzymes." c. "Amikacin is a narrow-spectrum drug and will probably not work for this infection." d. "Gentamicin is less toxic to the ears and the kidneys."
The nurse reminds the client who has received a heart transplant to change positions slowly. Why is this instruction a priority?
a. Rapid position changes can create shear and friction forces, which can tear out in-ternal vascular sutures. b. The new vascular connections are more sensitive to position changes, leading to increased intravascular pressure. c. The new heart is denervated and is unable to respond to decreases in blood pressure caused by position changes. d. The recovering heart diverts blood flow away from the brain when the client stands, increasing the risk for stroke.
A patient in a residential treatment facility who was behaving aggressively was prescribed risperidone. How should this patient be monitored? (Select all that apply.)
1. IQ test 2. Lab panels 3. Physical exam 4. Baseline ECG 5. Pulmonary function evaluation