A nurse is analyzing the lab results of a patient with liver failure and ascites who is on spironolactone. What lab findings should the nurse anticipate?

Decreased phosphate level

Decreased potassium level

Decreased chloride level

Decreased sodium level

Answer and Explanation

The Correct Answer is B

Choice A rationale

Phosphate levels are not directly affected by spironolactone. Spironolactone is a potassium- sparing diuretic and does not typically affect phosphate levels.

Choice B rationale

Decreased potassium level is not typically expected in a patient taking spironolactone. Spironolactone is a potassium-sparing diuretic, meaning it can actually lead to increased potassium levels. However, in the context of liver failure and ascites, other factors may influence potassium levels.

Choice C rationale

Chloride levels are not directly affected by spironolactone. Spironolactone primarily affects the balance of potassium and sodium in the body.

Choice D rationale

Sodium levels could potentially be decreased in a patient taking spironolactone, as it can cause the body to lose sodium. However, in the context of liver failure and ascites, sodium levels are often carefully managed.

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Correct Answer is A

Explanation

Choice A rationale

Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.

Choice B rationale

Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.

Choice C rationale

Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.

Choice D rationale

Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.

A. “A biopsy will be prescribed to rule out malignancy.”. B. “Soak feet in an antiseptic solution daily.”. C. “They are related to excessive foot perspiration.”. D. “They may cause discomfort during walking.”.

Correct Answer is D

Explanation

Choice A rationale

A biopsy is not typically prescribed for plantar warts unless there is suspicion of a more serious condition, such as cancer.

Choice B rationale

Soaking feet in an antiseptic solution daily is not a standard treatment for plantar warts. Standard treatments include salicylic acid, cryotherapy (freezing), and other methods.

Choice C rationale

Plantar warts are not directly related to excessive foot perspiration. They are caused by the human papillomavirus (HPV) entering a cut or break in the skin.

Choice D rationale

Plantar warts may cause discomfort during walking due to their location on the soles of the feet.

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A nurse is analyzing the lab results of a patient with liver failure and ascites who is on spironolactone. What lab findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of nursing students about brain herniation.Which of the following interventions should the nurse include as a potential treatment for brain herniation?

Correct Answer is A

Explanation

A nurse in a community health clinic is caring for a patient who has a new diagnosis of plantar warts. What should the nurse include in the teaching plan for this patient?

Correct Answer is D

Explanation

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