To prevent complications in the patient with ascites, who is receiving daily furosemide and spironolactone, the nurse should implement which intervention?
A) Restrict sodium.
B) Restrict fluids.
C) Monitor weights.
D) Monitor electrolyte and creatinine levels.
D) Monitor electrolyte and creatinine levels.
Explanation: A) Sodium may be restricted, but this will not prevent complications of diuretic therapy.
B) Fluids may be restricted, but this will not prevent complications of diuretic therapy.
C) Weights should be monitored during diuretic treatment, but this will not prevent complications of diuretic therapy.
D) A common treatment approach to ascites involves the use of diuretics. The most common oral diuretic regimen is single morning doses of both spironolactone and furosemide. The use of both diuretics helps to minimize the hyperkalemia associated with spironolactone. Electrolytes (sodium and potassium) and creatinine levels should be monitored during diuretic treatment.
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What will be an ideal response?
Which statement indicates the student nurse's understanding of a situational relationship?
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