Author Question: A 60-year-old patient is taking spironolactone (Aldactone), a drug that blocks the action of ... (Read 87 times)

jon_i · **on:** Jun 25, 2018

A 60-year-old patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, for hypertension. The nurse will monitor for

a. increased serum sodium.
b. decreased urinary output.
c. elevated serum potassium.
d. evidence of fluid overload.

Question 2

Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?

a. What methods do you use to help cope with stress?
b. Have you experienced any blurring or double vision?
c. Have you had a recent unplanned weight gain or loss?
d. Do you have to get up at night to empty your bladder?

upturnedfurball · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Because aldosterone increases the excretion of potassium, a medication that blocks aldosterone will tend to cause hyperkalemia. Aldosterone also promotes the reabsorption of sodium and water in the renal tubules, so spironolactone will tend to cause increased urine output, a decreased or normal serum sodium level, and signs of dehydration.

Answer to Question 2

ANS: C
Because thyroid function affects metabolic rate, changes in weight may indicate hyperfunction or hypofunction of the thyroid gland. Nocturia, visual difficulty, and changes in stress level are associated with other endocrine disorders.