A nurse is preparing to administer spironolactone to a client. The nurse would contact the primary health care provider about the need to change the order if the client has a history of which of the following?
A) Hyperkalemia
B) Liver disease
C) Gout
D) Diabetes
Ans: A
Feedback:
The nurse should know that potassium-sparing diuretics are contraindicated in clients with hyperkalemia and are not recommended for children. Potassium-sparing diuretics should be used cautiously in clients with liver disease, diabetes, or gout, but these conditions do not contraindicate the use of potassium diuretics.
You might also like to view...
The perinatal nurse has administered a dose of dinoprostone (Cervidil) to a woman prior to a labor induction with oxytocin (Pitocin). The nurse then notices that the admission database is incomplete. What conditions should the nurse quickly question the p
A. Asthma B. Gallbladder disease C. IV drug use D. Penicillin allergy
A young adult client has come to the clinic who is unkempt and appears to be depressed. The client tells the nurse that her marriage failed and her spouse has taken the children out of state
What should the nurse recognize as being a major concern for this client? 1. The client's ability to pay the bill. 2. The client's ability to follow a treatment regime. 3. The potential for self-harm. 4. The potential for violence.
A male student at a community college is being given a mumps test in the college clinic. The student asks why he is receiving the test. The nurse states:
1. "Mumps can cause sterility in males, so we check to see if you are resistant." 2. "All the students on campus should be revaccinated against the mumps." 3. "Girls of childbearing age receive the vaccine to prevent birth defects." 4. "Mumps is a vaccine given before you begin college."
When developing the plan of care for a patient who has been newly diagnosed with diabetes, which of the following points is of highest priority?
1. Hunger and irritability may indicate low blood glucose. 2. Cut toenails straight across. 3. Avoid alcohol in the diet. 4. Do not eat any sweets or desserts.