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.
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Correct Answer is {"dropdown-group-1":"B"}
Explanation
The use of ibuprofen, especially in high doses or over a prolonged period, can increase the risk of developing gastric ulcers, particularly in a patient with a history of acute myocardial infarction who is on anticoagulant therapy with warfarin. This combination of medications can predispose the patient to gastrointestinal bleeding, and the nurse's assessment should include monitoring for signs of gastrointestinal distress or bleeding.
Correct Answer is C
Explanation
A. Visual disturbances are not commonly associated with sumatriptan use.
B. Phonophobia (sensitivity to sound) is a symptom of migraines, not an adverse effect of sumatriptan.
C. Pressure in the chest is a known adverse effect of sumatriptan and should be monitored.
D. Numbness of the tongue is not a typical adverse effect of sumatriptan
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