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 responding to the treatment?
Increased appetite
Decreased jaundice
Decreased ascites
Increased energy
The Correct Answer is C
A. Increased appetite is not a direct indicator of spironolactone effectiveness.
B. Decreased jaundice may occur with overall improvement in liver function but is not a direct indicator of spironolactone effectiveness.
C. Decreased ascites indicates that spironolactone is effectively reducing fluid retention, which is a primary goal in managing cirrhosis.
D. Increased energy can be a positive sign but is not a direct measure of the effectiveness of spironolactone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Consulting a drug reference guide is the most reliable and thorough method to identify potential food and medication interactions.
B. While taking medication on an empty stomach might avoid some interactions, it is not a universally safe or effective strategy and could cause other issues.
C. Asking another nurse may provide useful information but does not guarantee comprehensive or accurate details.
D. Checking the medical record is important but may not have all the necessary information regarding new interactions specific to the medication being administered.
Correct Answer is C
Explanation
A. The skin fold should be held throughout the injection to ensure proper subcutaneous delivery.
B. Enoxaparin should be injected into the anterolateral or posterolateral abdominal area, not the lateral thigh.
C. Keeping the air bubble in the syringe ensures that the entire dose is administered and helps to seal the medication in the tissue.
D. Rubbing the site post-injection can increase the risk of bruising and should be avoided.
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