A patient with cirrhosis is prescribed spironolactone. What is the primary reason for this medication?
Promote diuresis and reduce ascites
Prevent worsening liver damage
Reduce blood pressure
Increase urine output without affecting potassium levels
The Correct Answer is A
(A) Promote diuresis and reduce ascites: Spironolactone is a potassium-sparing diuretic used in cirrhosis to help manage fluid retention and ascites caused by portal hypertension.
(B) Prevent worsening liver damage: Spironolactone does not directly protect the liver.
(C) Reduce blood pressure: Though it can lower BP, this is not its primary use in cirrhosis.
(D) Increase urine output without affecting potassium levels: It spares potassium, but monitoring is still needed to prevent hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) Sickle Cell Anemia: Follows incomplete dominance, where the heterozygous trait has a milder phenotype.
(B) Huntington’s Disease: Follows autosomal dominant inheritance, not co-dominance.
(C) Marfan Syndrome: Is an autosomal dominant disorder, not co-dominance.
(D) ABO Blood Type Inheritance: Co-dominance means both alleles are fully expressed. In ABO blood types, a person with AB blood has both A and B antigens expressed equally.
Correct Answer is A
Explanation
(A) Include foods rich in potassium in the diet: Torsemide is a loop diuretic, which increases potassium excretion and may cause hypokalemia, requiring potassium supplementation.
(B) Increase calcium-rich foods: Torsemide primarily affects potassium, not calcium.
(C) Restrict fluid intake to 500 mL/day: Fluid restrictions may be necessary in severe heart failure, but 500 mL/day is too restrictive unless specifically indicated.
(D) Restrict foods rich in potassium in the diet: Torsemide causes potassium loss, not retention, so restricting potassium would worsen hypokalemia.
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