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 A

Explanation

Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution of the tablets and facilitates the absorption of calcium. Also, drinking water can help prevent potential side effects such as constipation, which can occur with the use of calcium carbonate antacids.
B. There is no need to reduce sodium intake specifically due to taking calcium carbonate antacids.
C. While calcium can be absorbed more efficiently when taken with food, it is not necessary to take calcium carbonate antacids with dairy products.
D. Increasing bulk in the diet is generally recommended for managing diarrhea, but not directly related to calcium carbonate antacids.

A. Expect stools to turn black. B. Anticipate the tablets to smell like vinegar. C. Monitor for tinnitus. D. Take the tablets on an empty stomach.

Correct Answer is C

Explanation

Aspirin is a salicylate that has multiple effects. When taken in excess in susceptible individuals it can cause tinnitus due to salicylism. The client should be advised to report any tinnitus to the provider as this may be a sign of aspirin toxicity.
A. Black stool is the client signifies upper GI bleeding that should be monitored for and reported if it occurs
B. Aspirin tablets have a vinegar smell when hydrolysis has taken place and should not be taken at this point
D. Aspirin should be taken with meals or after meals

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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

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