A patient with Stage C heart failure (HF) who has been taking an ACE inhibitor, a beta blocker, and a diuretic begins to have increased dyspnea, weight gain, and decreased urine output
The provider orders spironolactone (Aldactone). The nurse will make sure that the patient:
a. does not take potassium supplements.
b. monitors for a decreased heart rate.
c. takes extra fluids.
d. uses a salt substitute instead of salt.
ANS: A
Spironolactone is added to therapy for patients with worsening symptoms of HF. Because spironolactone is a potassium-sparing diuretic, patients should not take supplemental potassium. Patients taking digoxin need to monitor their heart rate. Extra fluids are not indicated. Salt substitutes contain potassium.
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The nurse preparing a teaching plan for lifestyle changes for the patient with GERD would include:
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Which of the following are important behaviors to assess in the neurologic assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. State of alertness 2. Active posture 3. Quality of muscle tone 4. Cry 5. Motor activity