A nurse assesses a client who is prescribed a medication that inhibits aldosterone secretion and release. For which potential complications should the nurse assess? (Select all that apply.)
a. Urine output of 25 mL/hr
b. Serum potassium level of 5.4 mEq/L
c. Urine specific gravity of 1.02 g/mL
d. Serum sodium level of 128 mEq/L
e. Blood osmolality of 250 mOsm/L
ANS: B, E
Aldosterone is a naturally occurring hormone of the mineralocorticoid type that increases the reabsorption of water and sodium in the kidney at the same time that it promotes excretion of potassium. Any drug or condition that disrupts aldosterone secretion or release increases the client's risk for excessive water loss (increased urine output), increased potassium reabsorption, decreased blood osmolality, and increased urine specific gravity. The client would not be at risk for sodium imbalance.
You might also like to view...
The nurse plans to implement airborne precautions for children with which of the following infections?
A) Measles B) Streptococcal group A C) Rubella D) Scarlet fever
After assessing Mr. R's lower extremities, you would prepare him for the next assessment by
a. asking him to bend over the examination table. b. asking him to stand and lift his gown in front. c. draping his legs and helping him sit up. d. instructing him to get dressed.
Bioavailability can be different between the generic and trade versions of a drug. When is it not appropriate for a generic drug to be substituted for a trade version?
1. The trade version costs the same as the generic. 2. The time for onset of action is different between the generic and trade versions. 3. The inert ingredients are different in the generic and trade versions. 4. The drug is a critical care drug, or one with a narrow safety margin.
A patient with hypertensive emergency is admitted to the hospital. Which medication should the nurse be prepared to administer to this patient?
A. Minoxidil [Loniten] B. Hydralazine [Apresoline] C. Sodium nitroprusside [Nipride] D. Hydralazine and isosorbide dinitrate [BiDil]