Author Question: A patient who was recently prescribed spironolactone calls the clinic and complains that he is not ... (Read 47 times)

vicky · **on:** Jul 23, 2018

A patient who was recently prescribed spironolactone calls the clinic and complains that he is not urinating as much as he did when he first started taking this medication. What would be an appropriate question for the nurse to ask this patient?

A) Are you taking a salicylate?
B) Are you taking acetaminophen?
C) Are you taking ibuprofen?
D) Are you using a lot of salt?

Question 2

A patient with glaucoma has been prescribed acetazolamide (Diamox). What adverse effects would the nurse caution the patient about? (Select all that apply.)

A) Paresthesia
B) Confusion
C) Drowsiness
D) Vomiting
E) Hyperkalemia

Kingjoffery · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
The diuretic effect decreases if potassium-sparing diuretics are combined with salicylates. Dosage adjustment may be necessary to achieve therapeutic effects. There is no decrease in effect when spironolactone is combined with acetaminophen, ibuprofen, and increased sodium intake.

Answer to Question 2

A, B, C
Feedback:
Metabolic acidosis is a relatively common and potentially dangerous adverse effect that occurs when bicarbonate is lost. Hypokalemia is also common. Patients also complain of paresthesias of the extremities, confusion, and drowsiness. Vomiting and hyperkalemia are not common adverse effects