# A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate regarding monitoring for signs of hyperkalemia and restricting potassium supplements?

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497505&lang=en  
> language: en  
> subject: NCLEX-RN  
> category: PPT

## Question

A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate regarding monitoring for signs of hyperkalemia and restricting potassium supplements?

## Option

1. Monitor vital signs and assess laboratory values prior to administration.
2. Administer the medication with a full glass of water every morning. **✔ Correct answer**
3. Instruct the client to report any unexpected side effects immediately.
4. Verify the prescription details with the healthcare provider.

**Correct answer: 2**

## Explanation

When administering Spironolactone, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.

## In-depth explanation

1. Scenario: Patient taking Metoprolol.
2. Recognize Cues: Evaluate 베타차단제로 심박수 및 혈압 측정 후 투여.
3. Take Action: Ensure safe administration protocols.
4. Evaluate: Re-assess therapeutic response.

## Key concepts

- **Metoprolol (메토프롤롤)** — 베타차단제로 서맥(50~60회/분 미만)이나 수축기 혈압 90 mmHg 미만 시 투약을 보류해요.

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