A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Decreased chloride level

Decreased sodium level

Decreased potassium level

Decreased phosphate level

Answer and Explanation

The Correct Answer is B

Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.

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Correct Answer is C

Explanation

Isosorbide is a nitrate vasodilator used to dilate coronary vessels to relieve angina. Sildenafil also dilates peripheral vessels reducing peripheral vascular resistance. Using the two drugs together may lead to lethal drop in blood pressure and shock.
A, B, and D are not contraindicated with Sildenafil as they do not have any significant drug interactions

A. Renal stones B. Hepatitis C. Peptic ulcer D. Pancreatitis

Correct Answer is A

Explanation

flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.

B. calcium supplements do not cause hepatitis

C. Calcium supplementation do not cause peptic ulcers

D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain

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A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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