A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of themedication?

Serum chloride 99 mEq/L

Serum calcium 10.5 mg/dL

Serum potassium 5.2

Serum sodium 140 mEq/L.

Answer and Explanation

The Correct Answer is C

a. Serum chloride 99 mEq/L: Serum chloride within the reference range is not an adverse effect of spironolactone.

b. Serum calcium 10.5 mg/dL: Serum calcium within the reference range is not an adverse effect of spironolactone.

c. Serum potassium 5.2: Spironolactone is a potassium-sparing diuretic, and an elevated serum potassium level is an adverse effect that requires monitoring. The nurse should assess for

hyperkalemia.

d. Serum sodium 140 mEq/L: Serum sodium within the reference range is not an adverse effect of spironolactone.

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Correct Answer is D

Explanation

a. "The pain radiates down to my lower back." This statement is not typical of peptic ulcer

disease. Radiation of pain to the lower back may suggest other abdominal or musculoskeletal issues.

b. "I feel so much better after eating." Relief of pain after eating is more indicative of gastric ulcer rather than peptic ulcer disease. Peptic ulcers are often associated with pain that worsens after eating.

c. "My pain is relieved by having a bowel movement." Relief of pain with bowel movements is

not a characteristic finding of peptic ulcer disease. This may suggest other gastrointestinal issues.

d. "The pain is worse after I eat a meal high in fat." This statement is consistent with peptic ulcer disease. High-fat meals stimulate gastric acid secretion, potentially exacerbating the pain

associated with peptic ulcers.

A. Respiratory acidosis - The low pH (acidosis) and elevated PaCO2 suggest respiratory acidosis, which is caused by inadequate ventilation leading to an accumulation of carbon dioxide. B. Metabolic acidosis - Metabolic acidosis is characterized by a low pH and decreased HCO3. C. Respiratory alkalosis - Respiratory alkalosis is characterized by a high pH and low PaCO2, which is not consistent with the provided arterial blood gas values. D. Metabolic alkalosis - Metabolic alkalosis is characterized by a high pH and increased HCO3, which does not align with the given values.

Correct Answer is A

Explanation

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A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of themedication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain.Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Correct Answer is D

Explanation

A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3 of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?

Correct Answer is A

Explanation

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