A female patient who begins taking spironolactone [Aldactone] as an adjunct to furosemide [Lasix] complains that her voice is deepening. What will the nurse do?

a. Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests.
b. Explain that this drug binds with receptors for steroid hormones, causing this effect.
c. Report this side effect to the provider and request another medication for this pa-tient.
d. Teach the patient to report any associated cough, which may indicate a more severe side effect.


B
Spironolactone binds with receptors for aldosterone and with other steroid hormones, causing side effects such as gynecomastia, menstrual irregularities, impotence, hirsutism, and deepening of the voice. There is no indication for a CBC or for liver function tests in this patient with this side effect. Deepening of the voice is not an indication for withdrawal of the drug. This side ef-fect is not associated with cough.

Nursing

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A client has second- and third-degree burns to the legs and feet. The nurse assesses the client has an increased heart rate, decreased blood pressure, and cool and clammy skin. The nurse should recognize this client is in what type of shock?

a. anaphylactic c. hypovolemic b. cardiogenic d. toxic

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The unit council in the intensive care unit is designing a research study to see if they are meeting the spiritual needs of their patients. The study will involve patient interviews after discharge

After the interview process, the staff will examine patient statements for recurring themes. The unit council is conducting ____________________ research. Fill in the blank with correct word.

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The traditional areas of school health nursing that are still prevalent in many school systems include (select all that apply)

a. Health screening b. Emergency care c. Intensive care d. Communicable disease management e. Health care advice

Nursing

In which of the following situations could the care of a patient be transferred to an unregulated care provider?

a. The patient's condition is well-controlled or managed. b. The patient's condition is expected to change. c. The patient is unresponsive. d. The patient's response to the procedure is unpredictable.

Nursing