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

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

A. “Take this medication with food if nausea develops” B. “Increase your intake of grapefruit” C. "Monitor for muscle pain." D. "Expect to have increased bruising."

Correct Answer is A

Explanation

Taking colchicine with food can help minimize the gastrointestinal side effects of the medication. Therefore, advising the client to take the medication with food if nausea develops is appropriate.
B. Increasing intake of grapefruit is not recommended with colchicine. Grapefruit can interact with certain medications, including colchicine, and may increase the risk of side effects.
C. Monitoring for muscle pain is not typically associated with colchicine use. Muscle pain is not a common side effect of colchicine.
D. Increased bruising is not typically associated with colchicine use. Bruising is not a common side effect of colchicine.

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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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