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A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

A.

A client taking prednisone.

B.

A client taking torsemide.

C.

A client taking polystyrene sulfonate.

D.

A client taking spironolactone.

E.

A client taking hydrochlorothiazide.

Question Solution

Correct Answer : A,B,C,E

Choice A rationale


Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.


Choice B rationale


Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.


Choice C rationale


Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.


Choice D rationale


A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.


Choice E rationale


Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Asking the client to describe their concerns allows the nurse to understand the client’s perspective and address any misconceptions or fears they may have about the influenza immunization.

Choice B rationale

Contacting the provider is important but should be done after understanding the client’s concerns to provide a comprehensive report.

Choice C rationale

Providing education is essential but should follow understanding the client’s specific concerns to tailor the information effectively.

Choice D rationale

Documenting the refusal is necessary but should be done after addressing the client’s concerns and providing education.

Correct Answer is B

Explanation

Choice A rationale

Crushing tadalafil is not recommended as it can alter the medication’s effectiveness and absorption. Tadalafil should be taken whole to ensure proper dosage and efficacy.

Choice B rationale

Tadalafil can decrease blood pressure by relaxing blood vessels, which allows for increased blood flow. This is a known effect of phosphodiesterase type 5 (PDE5) inhibitors like tadalafil.

Choice C rationale

Tadalafil should not be taken more than once a day. Taking it twice a day can increase the risk of side effects and is not recommended.

Choice D rationale

The effects of tadalafil can last up to 36 hours, not just 4 hours. This prolonged duration is one of the reasons it is preferred by some patients.

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