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Week 9 Key Practice Questions1. The client is diagnosed with primary hyperaldosteronism and prescribed the aldosterone antagonist spironolactone (Aldactone). Which data would support that the medication is effective?1.The client’s potassium level is 4.2 mEq/L.2.The client’s urinary output is 30 mL/hr.3.The client’s blood pressure is 140/96.4.The client’s serum sodium is 137 mEq/L. Rationale: Aldactone is used to treat fluid retention in people with CHF. The medication is effective if urine output is adequate (30 ml/hour).Source: 2. The client diagnosed with diabetes insipidus (DI) is receiving desmopressin (DDAVP), a pituitary hormone, intranasally. Which assessment data would warrant the client notifying the health-care provider?3. The 10-year-old male client is receiving the growth hormone somatropin (Humatrope). Which signs or symptoms would warrant intervention by the nurse?Source: 4. The female client has secondary adrenal insufficiency and is prescribed adrenocorticotrophichormone ACTH (Acthar). Which information should the nurse discuss with the client?
Source: 5. The client is diagnosed with hypothyroidism and is taking the thyroid hormone levothyroxine (Synthroid). Which data indicates the medication is effective?1.The client’s apical pulse is 84 and the blood pressure is 134/78.2.The client’s temperature is 96.7F and respiratory rate is 14.3.The client reports having a soft, formed stool every 4 days.4.The client tells the nurse that the client only needs 3 hours of sleep.Rationale: Synthroid should increase the patient’s basal metabolic weight, increase the pulse rate, and increase the blood pressure. 2 and 3 indicate hypothyroidism. 4 indicates that the medication should be taken in the morning.Source: