FOCUS ON ADULT HEALTH NURSING EXAM 90 QUESTIONS AND CORRECT SOLUTIONS 2023 GUARANTEED A+++.

FOCUS ON ADULT HEALTH NURSING EXAM 90 QUESTIONS AND CORRECT SOLUTIONS 2023 GUARANTEED A+++. A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. A. Constipation B. Tall T waves Correct C. Hyporeflexia D. Shallow respirations E. Prolonged PR interval Correct F. Hyperactive bowel sounds Correct Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-sparing diuretics can cause hyperkalemia. Cardiovascular manifestations of hyperkalemia include tall T waves, widened QRS complexes, prolonged PR intervals, and flat P waves. Other cardiovascular manifestations include an irregular heart rate, decreased blood pressure, and ectopic heartbeats. Muscle twitches occur in hyperkalemia. Hyperactive bowel sounds and diarrhea also occur in hyperkalemia. Constipation, hyporeflexia, and shallow respirations are signs of hypokalemia. Test-Taking Strategy: The knowledge that spironolactone is a potassiumsparing diuretic will assist you in determining that hyperkalemia is an adverse effect of the medication. Recalling the manifestations of hyperkalemia will direct you to the correct options. Also, note that the incorrect options are comparable or alike in that they indicate a slowed body response or function. Review the adverse effects of spironolactone and the manifestations of hyperkalemia if you had difficulty with this question. Level of Cognitive Ability: Analyzing Client Needs: Physiological Integrity Integrated Process: Nursing Process/Assessment Content Area: Adult Pharmacology Giddens Concepts: Clinical Judgment, Fluid and Electrolytes HESI Concepts: Clinical Decision-Making/Clinical Judgment, Fluids and Electrolytes Reference: Hodgson, B., & Kizior, R. (2015). Saunders nursing drug handbook 2015. (pp. ) St. Lou