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 B
Explanation
A. Nitroglycerin should be stored at room temperature in its original glass container to maintain its potency.
B. Correct use involves placing the tablet under the tongue until it dissolves to ensure rapid absorption.
C. The correct instruction is to call 911 if pain persists after taking three tablets over 15 minutes, not 30 minutes.
D. The proper interval is every 5 minutes, up to three doses, not every 10 minutes.
Correct Answer is B
Explanation
A. Massaging the site can increase bleeding and is contraindicated after subcutaneous heparin injection.
B. Grasping the skin between the thumb and forefinger throughout the injection helps to stabilize the tissue and minimize the risk of injecting the medication into the muscle, which could lead to increased bleeding.
C. Aspirating the syringe is not necessary for subcutaneous injections and may increase tissue trauma.
D. The Z-track method is typically used for intramuscular injections to prevent medication from leaking into subcutaneous tissue, but it is not appropriate for subcutaneous heparin injections.
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