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 energy

Decreased jaundice

Decreased ascites

Increased appetite

Answer and Explanation

The Correct Answer is C

This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites

The other effects are not directly related to spironolactone use

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Correct Answer is D

Explanation

Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.

A- Long acting insulins like glargine are used as a basal insulin given once a day

B- The subcutaneous tissue is preferred

C- Insulin glargine is not added before exercise

A. Nalbuphine B. Acetaminophen C. Ondansetron D. Insulin glargine

Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

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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

A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

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