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 C
Explanation
Allopurinol is used to lower uric acid levels in the body in gouty arthritis preventing acute attacks. Increasing fluid intake while taking allopurinol is important because it helps to prevent the formation of kidney stones by flushing out uric acid, a potential side effect of the medication
A. Taking an antihistamine for a rash caused by allopurinol is not recommended without consultation
B. Taking aspirin for a fever while on allopurinol is not recommended without consultation with a physician
D. Allopurinol can be taken with or without food.
Correct Answer is A
Explanation
Chewing sugarless gum or sucking on hard sour candies can help stimulate saliva production and alleviate the symptoms of dry mouth.
B. Dry mouth is a common side effect of diphenhydramine and can often be managed with simple interventions like chewing sugarless gum. Notifying the provider is not necessary
C. Placing a humidifier at the bedside may help with dry mouth indirectly by increasing moisture in the air, but it's not a direct solution for dry mouth caused by diphenhydramine.
D. Administering the medication with food is not specifically related to managing dry mouth caused by diphenhydramine.
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