Question: The nurse is preparing to administer spironolactone (Aldactone) to a client. After assessing the client, what data indicate the need to withhold the medication?
1. Potassium level of 5.8 mEq/L
2. Apical pulse rate of 58 beats/min
3. BP of 130/90 mm Hg
4. Urine output of 30 mL/hr
Rationale: Aldactone is a potassium-sparing diuretic. The client's potassium level is high; therefore the medication should be held, and the doctor should be notified. The other options are not affected by this medication.
This week’s NCLEX exam practice question came from:
Zerwekh: Illustrated Study Guide for the NCLEX-RN Examination, 7th Edition, Chapter 16, Page 322, Question 6
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