A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Decreased chloride level
Decreased sodium level
Decreased potassium level
Decreased phosphate level
The Correct Answer is B
Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Aspirin has multiple properties which include antiplatelet, anti- inflammatory and analgesic properties. Any client on aspirin should be monitored for bleeding as aspirin interferes with the formation of the primary plug increasing the risk on bleeding. The nurse should monitor for dark stool, hematuria or any other overt bleeding.
A, C, D- Aspirin does not cause blurred vision, insomnia or constipation.
Correct Answer is B
Explanation
pulling the auricle down and back, is recommended for pediatric clients for proper visualization. It also helps prevent the eardrops from pooling at the entrance of the ear canal, allowing them to flow more effectively into the ear.
A, pulling the auricle down and out is not recommended as it may lead to pooling of the drop and spillage
CThis is not recommended in children
D Pulling the auricle up and back is recommended for adults.
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