Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites.
The nurse should monitor the client for which of the following medication-related side effects?

Tachycardia, decreased pedal pulses

Muscle weakness, Diarrhea, dizziness

Decreased level of consciousness, irregular muscle twitching

Jaundice skin, hypotension, bradycardia

Answer and Explanation

The Correct Answer is B

Choice A rationale: These side effects are not related to spironolactone use.

Choice B rationale: These are common side effects of spironolactone, as it causes potassium retention and sodium loss.

Choice C rationale: These side effects are not related to spironolactone use.

Choice D rationale: These side effects are not related to spironolactone use.

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Correct Answer is ["C","D","E"]

Explanation

Choice A rationale: Small bowel obstructions typically present with diffuse, crampy abdominal pain rather than localized pain in the right lower quadrant.

Choice B rationale: While fever can be present in some cases, it's not a consistent finding with small bowel obstruction unless there's perforation.

Choice C rationale: Common symptoms of small bowel obstruction due to the buildup of contents proximal to the obstruction.

Choice D rationale: A key feature of small bowel obstruction due to the blockage preventing normal bowel movements.

Choice E rationale: Accumulation of gas and fluid above the obstruction causes abdominal distention.

A. A 6 year old that is presenting with polyuria, polydipsia, abdominal pain, and vomiting B. A 66 year old with type I diabetes that has ketones present in their urine. C. A 72 year old with a health history of diabetes who has a blood glucose of 300 mg/dL and is complaining of thirst and frequent urination. D. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.

Correct Answer is D

Explanation

Choice A rationale: This may indicate a different condition such as gastroenteritis rather than Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS).

Choice B rationale: This is more indicative of diabetic ketoacidosis (DKA) rather than HHNS.

Choice C rationale: A 72-year-old with a history of diabetes, elevated blood glucose, and complaints of thirst and frequent urination might have uncontrolled diabetes, but the absence of severe hyperglycemia and other symptoms specific to HHNS makes this choice less likely.

Choice D rationale: This fits the criteria for HHNS. The infection, missed medication, and extremely high blood glucose levels suggest the possibility of Hyperglycemic Hyperosmolar Nonketotic Syndrome.

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Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","D","E"]

Explanation

Which of the following patients is most likely experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?

Correct Answer is D

Explanation

Which of the following imagine the nurse will recognize as a positive evidence of adenomyosis?

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Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites.
The nurse should monitor the client for which of the following medication-related side effects?