This topic contains a solution. Click here to go to the answer

Author Question: A client is taking spironolactone (Aldactone) but continues to have peripheral edema. Which question ... (Read 58 times)

mpobi80

  • Hero Member
  • *****
  • Posts: 519
A client is taking spironolactone (Aldactone) but continues to have peripheral edema. Which question by the nurse is the most appropriate?
 
  1. Are you taking potassium supplements?
  2. Are you taking corticosteroids?
  3. Are you taking digoxin (Lanoxin)?
  4. Are you taking aspirin (ASA)?

Question 2

Why would a client benefit from a thiazide diuretic over a loop diuretic?
 
  1. They can be taken on an as-needed basis.
  2. They do not cause electrolyte imbalance.
  3. Possible dehydration is not a factor.
  4. The frequency of adverse effects is much lower.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

al

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

Correct Answer: 4

Rationale 1: Hyperkalemia may occur if the client is also taking a potassium supplement.
Rationale 2: The effects of corticosteroids are increased with thiazides.
Rationale 3: Spironolactone decreases the effects of digoxin, which would not cause peripheral edema.
Rationale 4: Aspirin and other salicylates can decrease the diuretic effect of spironolactone.

Global Rationale: Aspirin and other salicylates can decrease the diuretic effect of spironolactone. Hyperkalemia may occur if the client is also taking a potassium supplement. The effects of corticosteroids are increased with thiazides. Spironolactone decreases the effects of digoxin, which would not cause peripheral edema.

Answer to Question 2

Correct Answer: 4

Rationale 1: They can be taken on an as-needed basis is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 2: They do not cause electrolyte imbalance is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 3: Possible dehydration is not a factor is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.
Rationale 4: Side effects from thiazides are generally minor, and rarely cause discontinuation of therapy.

Global Rationale: Side effects from thiazides are generally minor, and rarely cause discontinuation of therapy. They can be taken on an as-needed basis is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness. They do not cause electrolyte imbalance is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness. Possible dehydration is not a factor is incorrect because all diuretics can cause dehydration and electrolyte imbalance, and should be taken on a regular schedule to monitor effectiveness.




mpobi80

  • Member
  • Posts: 519
Reply 2 on: Jul 24, 2018
Excellent


cam1229

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Gracias!

 

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

There are more bacteria in your mouth than there are people in the world.

For a complete list of videos, visit our video library