What do you need to know about spironolactone?
Nice work! You just studied 100 terms! Now up your study game with Learn mode. A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. Rationale: Spironolactone is a potassium-sparing diuretic.
What should a nurse monitor when administering hydrochlorothiazide to a client?
1. Monitor for kidney failure. 2. Monitor psychosocial status. 3. Monitor for signs of bleeding. 4. Have heparin sodium available. 3. Monitor for signs of bleeding. The nurse is planning to administer hydrochlorothiazide to a client. The nurse understands that which is a concern related to the administration of this medication? 1.
How does the nurse monitor the patient's blood pressure during an IV?
The nurse documents the IV rate and status of site every 15 minutes. The nurse uses electronic monitoring of blood pressure every hour. The nurse cautions the client to call for assistance before getting out of bed. The nurse uses electronic monitoring of blood pressure every hour. Rationale: Nitroprusside decreases blood pressure instantaneously.
What should the nurse tell the client about enalapril?
The nurse is providing medication information to a client who is beginning medication therapy with enalapril (Vasotec). The nurse should tell the client that which is an anticipated, although unpleasant, side effect of this medication?
What is a nurse's role in treating hypertension?
A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client? A. Reserpine.
What is a nurse's job?
A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (Select all that apply). A. "Apply a new patch at the onset of anginal pain.".
What is a nurse caring for?
A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (Select all that apply). A. ACE inhibitor.
Does a drug promote diuresis?
D. The drug does not promote diuresis for clients who have renal insufficiency.
What is the name of the drug that a client with heart failure is scheduled to be discharged to home with?
Potassium. A client with heart failure is scheduled to be discharged to home with digoxin (Lanoxin) and furosemide (Lasix) as daily prescribed medications. The nurse tells the client to report which finding as an indication that the medications are not having the intended effect? 1.
How to increase heparin infusion?
1. Collaborate with the health care provider (HCP) to discontinue the heparin infusion and administer the warfarin sodium as prescribed. 2. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed. 3.
When did the cough begin in a ambulatory clinic?
When questioned, the client states that the cough began approximately 2 months ago . On further assessment, the nurse learns that the client began taking quinapril (Accupril) shortly before the time that the cough began.
What is the potassium level of Lanoxin?
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is complaining of anorexia. The health care provider prescribes determination of the serum digoxin level to rule out digoxin toxicity.
How long is aPTT?
Common laboratory ranges for activated partial thromboplastin time (aPTT) are 30 to 40 seconds. Because the aPTT should be 1.5 to 2.5 times the normal value, the client's aPTT would be considered therapeutic if it was 60 seconds. Prothrombin time assesses response to warfarin therapy.
How to administer potassium chloride?
Potassium chloride administered intravenously must always be diluted in IV fluid and infused via an infusion pump. Potassium chloride is never given by bolus (IV push). Giving potassium chloride by IV push can result in cardiac arrest. The nurse should ensure that the potassium is diluted in the appropriate amount of diluent or fluid. The IV bag containing the potassium chloride should always be labeled with the volume of potassium it contains. The IV site is monitored closely because potassium chloride is irritating to the veins and there is risk of phlebitis. In addition, the nurse should monitor for infiltration. The nurse monitors urinary output during administration and contacts the health care provider if the urinary output is less than 30 mL/hour.
What is bleeding time?
Bleeding time and thrombin time are hematological studies that may be prescribed for clients with coagulopathy or other disorders. The nurse is caring for a child with heart failure (HF). The nurse provides instructions to the mother regarding the procedure for administration of the prescribed digoxin.
How long does it take for prothrombin to work?
1. Prothrombin time of 12.5 seconds
Is heparin a side effect of insomnia?
Normal decreases in blood pressure and heart rate are expected. Insomnia is a frequent mild side effect and should be monitored. A client with a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium 7.5 mg at 5:00 p.m. daily.
Can you take aspirin with warfarin?
Aspirin-containing products need to be avoided when a client is taking this medication. Alcohol consumption should be avoided by a client taking warfarin sodium. Taking the prescribed medication at the same time each day increases client compliance. The MedicAlert bracelet provides health care personnel with emergency information.
Why does the client break an enteric-coated tablet?
The client breaks an enteric-coated tablet for ease of swallowing.
How often do nurses document IV status?
The nurse documents the IV rate and status of site every 15 minutes.
What is tenormin prescribed for?
Atenolol (Tenormin) is prescribed for a client with hypertension. The nurse recognizes that a safe dose for this drug is:
What is Nitroprusside prescribed for?
Nitroprusside (Nitropress) is prescribed for a client admitted with a blood pressure of 220/110. What action by a new nurse would require intervention by the charge nurse?
What is the normal potassium level for HCTZ?
Rationale: The normal serum potassium level is 3.5-5.0. HCTZ is a potassium-depleting drug. The drug should be held until a consultation with the health care provider takes place.
What is the stage of blood pressure 140/90/154/92?
Rationale: Blood pressure of 140/90-154/92 is Stage I hypertension. Initial treatment includes use of a thiazide diuretic in the absence of other symptoms.
What to do if client has low potassium?
Give the client a banana, and recheck the potassium level.