Author Question: A 91-year-old patient is being discharged on the diuretic spironolactone (Aldactone). What is the ... (Read 70 times)

nevelica · **on:** Jul 23, 2018

A 91-year-old patient is being discharged on the diuretic spironolactone (Aldactone). What is the major adverse effect of this type of medication?

A) Hypokalemia
B) Hyperkalemia
C) Gastric irritation
D) Hypertension

Question 2

A 64-year-old patient in hypertensive crisis is to receive furosemide (Lasix) 40 mg IV. Lasix comes in 100 mg/10 mL containers. How will the nurse administer the medication?

A) Give 4 mL over 1 to 2 minutes IV.
B) Give 4 mL over 10 minutes.
C) Flush the line with normal saline, give 1 mL/min, flush again when finished.
D) Fix 10 mL in an IV piggyback and deliver it over 30 minutes.

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

Answer to Question 1

B
Feedback:
The most common adverse effect of potassium-sparing diuretics is hyperkalemia, which can cause lethargy, confusion, ataxia, muscle cramps, and cardiac arrhythmias. Hypokalemia, gastric irritation, and hypertension are not recognized as adverse effects of spironolactone.

Answer to Question 2

A
Feedback:
Administer furosemide (Lasix) 40 mg over 1 to 2 minutes IV. The other options are not correct.