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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Check the client’s medical record for medication and food interactions is important, but it may not provide comprehensive information about all potential interactions.
B. Consult a drug reference guide for possible interactions is the best action. Drug reference guides provide detailed and up-to-date information about potential food and medication interactions, ensuring safe administration.
C. Ask another nurse if they are aware of potential interactions can be helpful, but it should not be the primary source of information. It is better to rely on authoritative drug reference guides.
D. Have the client take the medication on an empty stomach to avoid interactions is not always appropriate. Some medications need to be taken with food to enhance absorption or reduce gastrointestinal side effects.

A. Inject air into the vial to withdraw the short-acting insulin. B. Ensure the NPH insulin is drawn into the syringe first. C. Use two separate syringes to mix the insulin. D. Administer the insulin within 20 minutes of preparing it.

Correct Answer is A

Explanation

A. Inject air into the vial to withdraw the short-acting insulin is the correct procedure. The nurse should first inject air into the NPH vial without drawing up any insulin, then inject air into the short-acting insulin vial and withdraw the required dose. This prevents contamination of the short-acting insulin with NPH insulin.
B. Ensure the NPH insulin is drawn into the syringe first is incorrect. The short-acting insulin should be drawn into the syringe first to avoid contaminating it with NPH insulin.
C. Use two separate syringes to mix the insulin is not necessary. Insulin can be mixed in one syringe as long as the correct procedure is followed.
D. Administer the insulin within 20 minutes of preparing it is not specific to the mixing procedure. Insulin should generally be administered promptly after preparation, but the exact timing can vary.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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