A nurse is analyzing the lab results of a patient with liver failure and ascites who is on spironolactone. What lab findings should the nurse anticipate?
Decreased phosphate level
Decreased potassium level
Decreased chloride level
Decreased sodium level
The Correct Answer is B
Choice A rationale
Phosphate levels are not directly affected by spironolactone. Spironolactone is a potassium- sparing diuretic and does not typically affect phosphate levels.
Choice B rationale
Decreased potassium level is not typically expected in a patient taking spironolactone. Spironolactone is a potassium-sparing diuretic, meaning it can actually lead to increased potassium levels. However, in the context of liver failure and ascites, other factors may influence potassium levels.
Choice C rationale
Chloride levels are not directly affected by spironolactone. Spironolactone primarily affects the balance of potassium and sodium in the body.
Choice D rationale
Sodium levels could potentially be decreased in a patient taking spironolactone, as it can cause the body to lose sodium. However, in the context of liver failure and ascites, sodium levels are often carefully managed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The glomerular filtration rate (GFR) does not recover during the oliguric phase of acute kidney injury (AKI). Recovery of GFR typically occurs during the recovery phase.
Choice B rationale
During the oliguric phase of AKI, urine output is typically less than 400 mL per 24 hours.
Choice C rationale
Renal function is not reestablished during the oliguric phase of AKI. This typically occurs during the recovery phase.
Choice D rationale
Blood urea nitrogen (BUN) and creatinine levels do not decrease during the oliguric phase of AKI. These levels typically increase due to decreased kidney function.
Correct Answer is A
Explanation
Choice A rationale
Spending time with the patient is a therapeutic nursing approach when caring for a patient hospitalized for the treatment of severe depression. This approach shows the patient that they
are not alone and that their feelings are important. It can help build trust and rapport, which are essential for effective therapeutic communication and intervention.
Choice B rationale
Offering the patient choices of activities can be beneficial as it can provide a sense of control and improve mood. However, this approach should be used judiciously as the patient’s energy levels and interest in activities may be low due to depression.
Choice C rationale
Establishing a therapeutic relationship with the patient is an important aspect of care. However, this is a broad approach and involves more than just spending time with the patient. It includes building trust, maintaining confidentiality, and providing empathetic and nonjudgmental care.
Choice D rationale
Exploring the truth of the patient’s statements can be part of cognitive behavioral therapy (CBT), a common treatment for depression. However, this is usually done by a trained therapist and not by a nurse providing general care.
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