A patient with cirrhosis is prescribed spironolactone. What is the primary reason for this medication?
Promote diuresis and reduce ascites
Prevent worsening liver damage
Reduce blood pressure
Increase urine output without affecting potassium levels
The Correct Answer is A
(A) Promote diuresis and reduce ascites: Spironolactone is a potassium-sparing diuretic used in cirrhosis to help manage fluid retention and ascites caused by portal hypertension.
(B) Prevent worsening liver damage: Spironolactone does not directly protect the liver.
(C) Reduce blood pressure: Though it can lower BP, this is not its primary use in cirrhosis.
(D) Increase urine output without affecting potassium levels: It spares potassium, but monitoring is still needed to prevent hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
Correct Answer is B
Explanation
Trousseau’s sign is a sign of hypocalcemia, not hypercalcemia. It occurs when inflating a blood pressure cuff causes carpal spasms due to increased neuromuscular excitability.
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