A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?
Digoxin
Lisinopril
Potassium iodide
Furosemide
The Correct Answer is D
A. Digoxin: Digoxin requires caution with elevated potassium levels, as hyperkalemia can increase the risk of digoxin toxicity. A potassium level of 5.3 mEq/L is borderline high, so it should be used cautiously.
B. Lisinopril: Lisinopril, an ACE inhibitor, can also increase potassium levels. It may not be the best choice for this client due to the elevated potassium.
C. Potassium iodide: Potassium iodide would further increase the client's potassium level and is contraindicated.
D. Furosemide: Furosemide is a loop diuretic that can help to lower serum potassium levels by promoting potassium excretion. Therefore, it is appropriate for this client with an elevated potassium level.
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Correct Answer is B
Explanation
A. “If my breathing begins to feel tight, I will use the fluticasone immediately." Fluticasone is a corticosteroid, and it is not a rescue medication. It is used for long-term control and does not provide immediate relief for acute symptoms.
B. "I will be sure to use the albuterol nebulizer before the fluticasone." Albuterol is a bronchodilator and should be used first to open the airways, allowing better absorption of fluticasone when used afterward.
C. "I do not need to rinse my mouth after completing the albuterol and fluticasone." Rinsing the mouth after using fluticasone (a corticosteroid) is important to prevent oral thrush. Albuterol alone does not require rinsing, but fluticasone does.
D. "I will use both medications immediately after exercising." Albuterol is often used as a pre-exercise medication for asthma, but fluticasone should be used as directed for maintenance, not as an immediate post-exercise medication.
Correct Answer is D
Explanation
A. "I will rinse my mouth after each dose to prevent thrush." Ipratropium bromide is an anticholinergic bronchodilator, and it does not typically increase the risk of oral thrush. Rinsing the mouth after use is more commonly recommended with corticosteroid inhalers.
B. "I will use this medication early in the morning so I am not urinating all night." Ipratropium bromide does not significantly affect urination or the frequency of urination, as it primarily targets the respiratory system.
C. "I will make sure to use this in combination with a corticosteroid inhaler." Although it may be used in combination with corticosteroids, this is not specific to Ipratropium's side effects. This answer does not directly address side effect management.
D. "I will suck on hard candies to cope with dry mouth." A common side effect of Ipratropium bromide is dry mouth due to its anticholinergic properties. Sucking on hard candies is an appropriate way to manage this side effect.