A healthcare professional is monitoring a client who is receiving spironolactone. Which of the following findings should the professional report to the provider?

Correct Answer: C

Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia. Spironolactone is a potassium-sparing diuretic that can cause potassium retention. Hyperkalemia is a serious condition that can lead to cardiac dysrhythmias. The healthcare professional should withhold the medication and promptly notify the provider to prevent potential complications.

Correct Answer: B

Rationale: In case anginal pain persists after taking the first tablet and waiting 5 minutes, the priority step is to call emergency services (911) and then take a second sublingual tablet. Persistent pain could indicate a myocardial infarction, and immediate medical attention is crucial. If the pain continues even after the second tablet, the client can take a third tablet after an additional 5-minute wait.

Correct Answer: A

Rationale: In this situation, where the client's blood pressure is significantly lowered due to Verapamil administration, the nurse should anticipate a prescription for Calcium gluconate. Calcium gluconate is used to reverse severe hypotension caused by Verapamil. It should be given slowly intravenously as it counteracts the vasodilation caused by Verapamil, helping to normalize blood pressure levels.

Correct Answer: D

Rationale: The correct answer is D) Take colesevelam with food and at least one glass of water. Rationale: - Colesevelam is a bile acid sequestrant that works by binding to bile acids in the intestine, which can interfere with the absorption of other medications like digoxin. Taking colesevelam with food and water helps to prevent drug interactions and ensures proper absorption of both medications. Incorrect options: - Option A is incorrect because digoxin should not be taken with colesevelam due to the risk of decreased absorption. - Option B is not directly related to the interaction between digoxin and colesevelam. - Option C is unrelated to the instructions for taking colesevelam and does not address the potential drug interaction. Educational context: It is crucial for nurses to understand the potential drug interactions and instructions for administration of medications to ensure patient safety and treatment efficacy. Teaching patients about the proper administration of medications like colesevelam is essential to prevent complications and maximize therapeutic benefits.

Correct Answer: C

Rationale: Omeprazole or another proton pump inhibitor is commonly prescribed for clients taking dabigatran who experience abdominal pain and other gastrointestinal adverse effects associated with dabigatran use. Proton pump inhibitors help alleviate these symptoms by reducing gastric acid secretion, which can contribute to gastrointestinal discomfort.