The hospitalized patient is receiving spironolactone (Aldactone). A consulting physician sees the patient and orders lisinopril (Prinivil). What will be the primary assessment by the nurse?
1. Decreased effect of spironolactone (Aldactone)
2. Hypokalemia
3. Hyperkalemia
4. Decreased effect of lisinopril (Prinivil)
3
Rationale 1: Spironolactone (Aldactone) does not decrease the effect of spironolactone (Aldactone).
Rationale 2: The patient will not be at risk for hypokalemia.
Rationale 3: Concurrent use of spironolactone (Aldactone) and ACE inhibitors such as lisinopril (Prinivil) may predispose the patient to hyperkalemia.
Rationale 4: (Aldactone) does not decrease the effect of lisinopril (Prinivil).
Global Rationale: Concurrent use of spironolactone (Aldactone) and ACE inhibitors such as lisinopril (Prinivil) may predispose the patient to hyperkalemia. The patient will be at risk for hyperkalemia, not hypokalemia. Lisinopril (Prinivil) does not decrease the effect of spironolactone (Aldactone). Spironolactone (Aldactone) does not decrease the effect of lisinopril (Prinivil).
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