A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Increased appetite
Decreased jaundice
Increased energy
Decreased ascites
The Correct Answer is D
A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradypnea is not a common adverse effect of amiodarone. Respiratory effects are less common compared to cardiac effects.
B. Fever can occur with amiodarone but is not the most common or critical adverse effect.
C. Bradycardia is a well-known adverse effect of amiodarone. Amiodarone can slow the heart rate significantly, leading to bradycardia, which requires monitoring and potential intervention.
D. Hypertension is not typically associated with amiodarone. Amiodarone is more likely to cause hypotension rather than hypertension.
Correct Answer is C
Explanation
A. Obtain arterial blood gases is not the immediate action required for hypoglycemia. It is more relevant for assessing respiratory and metabolic status.
B. Warm formula to room temperature is not related to managing hypoglycemia. It is a standard practice for comfort but does not address the low blood glucose levels.
C. Administer IV dextrose is the appropriate action to treat hypoglycemia. IV dextrose provides a rapid source of glucose to raise blood sugar levels and prevent complications associated with hypoglycemia.
D. Discontinue the infusion is not the correct action. The infusion may need to be adjusted, but the immediate priority is to correct the hypoglycemia with IV dextrose.
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