A nurse is reviewing a patient's medications before administration. Which drug-to-drug interactions should most concern the nurse in a patient with a history of heart failure and a potassium level of 5.5 mEq/L?
a. Furosemide (Lasix) and enalapril (Vasotec)
b. Amlodipine (Norvasc) and spironolactone (Aldactone)
c. Eplerenone (Inspra) and spironolactone (Aldactone)
d. Metoprolol (Lopressor) and furosemide (Lasix)
ANS: C
The greatest risk with eplerenone is hyperkalemia, and combining this drug with a potassium-sparing diuretic creates a significant risk of hyperkalemia. Furosemide and enalapril, an ACE inhibitor, would not be contraindicated in this patient. Amlodipine and spironolactone would not cause hyperkalemia. The combination of metoprolol, a beta blocker, and furosemide would not be contraindicated in this patient.
You might also like to view...
Which of the following prenatal nutritional supplements is necessary to prevent neural tube disorders in newborns?
a. Calcium b. Folic acid c. Iron d. Vitamin C
A nurse is preparing to teach a forgetful older adult patient about a multiple drug regimen to follow after discharge from the hospital. To help promote adherence, what will the nurse do?
a. Ask the patient to share the teaching with a neighbor or friend soon after discharge. b. Give the patient detailed written informa-tion about each drug. c. Cluster medication administration times as much as possible. d. Make sure the patient understands the ac-tions and side effects of each drug.
A client is going home after outpatient surgery for a hydrocele. Which information does the nurse emphasize in teaching this client?
a. "Report to the doctor immediately any drainage from your drain." b. "Use a condom during intercourse to pre-vent incisional infection." c. "Sit when you urinate until all swelling is gone and drainage has stopped." d. "Wear the scrotal support device for at least 3 weeks after surgery."
A client has just returned to the unit after having a percutaneous transhepatic cholangiogra-phy. Which of the following should be included in the plan of care?
A. The client can be discharged after voiding. B. The client should be kept NPO for 6 hours postprocedure. C. Position the client on the right side with a sandbag against the lower ribs. D. The client should ambulate with assistance only for the first 2 hours postproce-dure.