A patient with cirrhosis has tense ascites and receives spironolactone. Which finding should the nurse report promptly?
Correct answer: A. A potassium level of 5.8 mmol/L
- A. A potassium level of 5.8 mmol/L
- B. A sodium level of 137 mmol/L
- C. A respiratory rate of 16 breaths per minute
- D. A urine output of 1,200 mL in 24 hours
Explanation
Spironolactone is a potassium-sparing diuretic, so a potassium level of 5.8 mmol/L indicates clinically important hyperkalaemia and possible dysrhythmia risk. The other findings are not immediate evidence of a serious medication complication.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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