A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Increased appetite

Decreased jaundice

Increased energy

Decreased ascites

Answer and Explanation

The Correct Answer is D

A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.

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Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid. This finding is not the priority because while vomiting can be a side effect of morphine, it is not immediately life-threatening.
B. Blood pressure 90/60 mm Hg. This finding is concerning but not the priority. Morphine can cause hypotension, but the primary concern with morphine administration is respiratory depression.
C. Respirations deep at a rate of 10/min. This finding is the priority because morphine can cause respiratory depression, which can be life-threatening. Monitoring and addressing respiratory status is critical when administering opioids.
D. Urinary output of 20 mL within 1 hr. This finding is concerning but not the priority. Low urinary output can indicate dehydration or renal issues, but respiratory depression is the most immediate concern with morphine administration.

A. Propafenone B. Prochlorperazine C. Metformin D. Simvastatin

Correct Answer is B

Explanation

A. Propafenone is an antiarrhythmic medication used to treat irregular heartbeats. It is not used to treat vomiting and would not be appropriate for this client.
B. Prochlorperazine is an antiemetic medication commonly used to treat severe nausea and vomiting. It works by blocking dopamine receptors in the brain, which helps reduce the urge to vomit.
C. Metformin is an oral antidiabetic medication used to manage blood glucose levels in people with type 2 diabetes. It is not used to treat vomiting and would not be appropriate for this client.
D. Simvastatin is a lipid-lowering medication used to manage high cholesterol levels. It is not used to treat vomiting and would not be appropriate for this client.

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A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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