a nurse is caring for a client who has a new prescription for spironolactone which of the following findings should the nurse monitor as an adverse ef a nurse is caring for a client who has a new prescription for spironolactone which of the following findings should the nurse monitor as an adverse ef
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Nursing Elites

ATI RN

ATI Pharmacology Proctored Exam 2023

1. What finding should a nurse monitor for as an adverse effect when a client has a new prescription for Spironolactone?

Correct answer: A

Rationale: The correct answer is hyperkalemia. Spironolactone is a potassium-sparing diuretic that can lead to an increase in potassium levels. Hyperkalemia can be dangerous, causing muscle weakness and cardiac dysrhythmias. Monitoring potassium levels closely is crucial when a client is on Spironolactone. Hypoglycemia (choice B) is incorrect because Spironolactone does not typically affect blood glucose levels. Hypocalcemia (choice C) and hyponatremia (choice D) are also incorrect as Spironolactone's primary impact is on potassium levels.

2. A client has a prescription for Amoxicillin. Which of the following instructions should be included?

Correct answer: D

Rationale: The correct answer is D: Complete the entire course of therapy. It is crucial for clients to complete the entire course of amoxicillin therapy to ensure the infection is fully treated and to prevent antibiotic resistance. Prematurely stopping the antibiotic can lead to incomplete eradication of the infection, potentially causing it to return and be more difficult to treat. Choices A and B are not specific to amoxicillin and are general medication administration instructions. Choice C is not a common side effect of amoxicillin and does not require patient education.

3. Absorption is the ability to exhale carbon dioxide.

Correct answer: False

Rationale: Absorption is the process of taking in substances such as nutrients or gases. Exhaling carbon dioxide is a part of the process of respiration, not absorption. Therefore, the statement that absorption is the ability to exhale carbon dioxide is false. Choice A is incorrect because absorption does not involve exhaling carbon dioxide. Choice C is incorrect as the concept of absorption can be clearly defined. Choice D is also incorrect as there is a definitive answer to the statement provided.

4. A nurse is reviewing the laboratory results for a client with a history of atherosclerosis and notes elevated cholesterol levels. Which statement by the client indicates the nurse should plan follow-up instruction on a low-cholesterol diet?

Correct answer: C

Rationale: The correct answer is C. Eating three eggs daily increases cholesterol intake, which could exacerbate atherosclerosis. Omega-3 supplements, cooking with canola oil, and flavoring meat with lemon juice do not significantly impact cholesterol levels compared to consuming three eggs daily. Therefore, the nurse should focus on educating the client to reduce egg consumption to improve cholesterol levels.

5. A client is being discharged with a new prescription for furosemide 40 mg PO daily. Which of the following instructions should be included?

Correct answer: D

Rationale: The correct answer is D: 'Stand up slowly to minimize orthostatic hypotension.' Clients prescribed furosemide are at risk for orthostatic hypotension, a sudden drop in blood pressure when changing positions. Advising the client to stand up slowly can help prevent this complication. Instructing the client to avoid rapid position changes decreases the likelihood of dizziness or fainting episodes. Choices A, B, and C are incorrect because furosemide does not require avoiding potassium-rich foods, taking the medication with food, or daily weighing as specific instructions.

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