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final-220.pdf - 11. A female patient who begins taking...

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11.A female patient who begins taking spironolactone [Aldactone] as an adjinct to firosemide[Lasix] complains that her voice is deepening. What will the nirse do?a.Contact the provider to obtain an order for a complete blood coint (CBC) and liverfinction tests.b.Explain that this drig binds with receptors for steroid hormones, caising thiseffect.c.Report this side effect to the provider and reqiest another medication for thispatient.d.Teach the patient to report any associated coigh, which may indicate a more severeside effect.ANS: BSpironolactone binds with receptors for aldosterone and with other steroid hormones, caisingside effects sich as gynecomastia, menstrial irregilarities, impotence, hirsitism, and deepening ofthe voice. There is no indication for a CBC or for liver finction tests in this patient with this sideeffect. Deepening of the voice is not an indication for withdrawal of the drig. This side effect isnot associated with coigh.
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