A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?

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PN Learning System Medical Surgical Endocrine Practice Quiz Questions

Question 1 of 5

A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?

Correct Answer: A

Rationale: Spironolactone spares potassium; salt substitutes (KCl) could worsen hyperkalemia.

Question 2 of 5

The nurse is caring for a client who has adrenal insufficiency. Which of the following medications should the nurse expect to be prescribed for the client?

Correct Answer: D

Rationale: Prednisone replaces cortisol in adrenal insufficiency (e.g., Addison's).

Question 3 of 5

The nurse working on a surgical unit has been made aware of the following client situations. The nurse should first see the client who had a

Correct Answer: C

Rationale: Nose blowing post-hypophysectomy risks CSF leak or increased ICP, requiring immediate attention.

Question 4 of 5

A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?

Correct Answer: A

Rationale: Severe hyponatremia (105 mEq/L) requires urgent correction with hypertonic saline (3% NaCl).

Question 5 of 5

The RN has just received change-of-shift report on the med-surg unit. Which client will need to be assessed first?

Correct Answer: D

Rationale: Muscle twitching post-parathyroidectomy suggests hypocalcemia, a priority due to seizure risk.

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