Question

The nurse is collecting the health history for a client who reports a sudden onset of generalized weakness and fatigue. The nurse notes the client has a new prescription for spironolactone. Which action should the nurse take first?

Review the drug formulary for side effects

Request the health care provider to stop the medication

Notify the pharmacist of the findings

Document the findings

Answer 1

The nurse should first request the healthcare provider to stop the medication for the client. Notifying the pharmacist is also important. Documenting the findings is important, but should be done after taking immediate action.

Step-by-step explanation:

The nurse should first request the health care provider to stop the medication for the client who is experiencing sudden onset of generalized weakness and fatigue. Spironolactone is a medication that can cause side effects such as fatigue and weakness, and it may indicate a serious adverse reaction in the client. Therefore, it is important to contact the health care provider to discontinue the medication and evaluate the client's condition.

If the nurse suspects that the symptoms are related to the medication, notifying the pharmacist of the findings can also be done concurrently to help gather additional information and determine if there are any known drug interactions or contraindications.

Documenting the findings is an important step, but it should be done after taking immediate action to address the client's well-being. The nurse can record the client's symptoms, the course of action taken, and any follow-up progress in the client's medical record. It is crucial to prioritize the client's safety and health when encountering potential adverse drug reactions.