How should the nurse respond if a patient taking spironolactone asks if they can use a salt substitute?

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Question 1 of 5

How should the nurse respond if a patient taking spironolactone asks if they can use a salt substitute?

Correct Answer: B

Rationale: Salt substitutes often contain potassium, which can lead to hyperkalemia when used with potassium-sparing diuretics like spironolactone.

Question 2 of 5

In a patient with type 1 diabetes mellitus, a typical calculated daily dose of insulin would be:

Correct Answer: C

Rationale: Type 1 diabetics require both basal and bolus insulin for adequate glycemic control.

Question 3 of 5

Patient has cardiac arrest. Nonischemic heart disease, no MI. What should be done?

Correct Answer: B

Rationale: For nonischemic cardiac arrest without MI, an ICD is a class I indication to prevent future sudden cardiac death due to arrhythmias.

Question 4 of 5

46 y/o asymptomatic male has a brother with hemochromatosis. He drinks 2 beers per day. PE: Normal. Labs: Iron 180 ug/dL, Transferrin saturation 88%, Ferritin 1200 ug/L, CBC normal, AST 52, Abd US normal. HFE gene test +C282Y/C282Y mutation. The most appropriate next step would be:

Correct Answer: A

Rationale: Liver biopsy assesses for fibrosis or cirrhosis in hemochromatosis with significantly elevated ferritin, despite normal ultrasound.

Question 5 of 5

For which of the following circumstances would anastrozole be best indicated?

Correct Answer: C

Rationale: Anastrozole is effective for postmenopausal women with ER+ breast cancer; thus, a 69-year-old woman with these characteristics would benefit from it.

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