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 energy
Decreased jaundice
Decreased ascites
Increased appetite
The Correct Answer is C
This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites
The other effects are not directly related to spironolactone use
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Melena means that the stool has a dark discoloration. This is a sign of gastrointestinal bleeding and should be reported immediately as it can be a serious complication of warfarin therapy.
A,B,C- Are not related to use of warfarin
Correct Answer is B
Explanation
Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.
A,C,D- Are important steps but not related to client safety which is priority
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