Which of the following clients with cirrhosis is at greatest risk for the development of hepatorenal syndrome?
A. A client with early-stage Laënnec's cirrhosis
B. A client taking acetaminophen for pain
C. A client with fatty infiltrates in the liver
D. A client eating a low-protein diet
B
Hepatorenal syndrome can be precipitated by clinical deterioration secondary to portal system encephalopathy or by drugs such as Indocin (indomethacin), aspirin, or acetaminophen.
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A patient with osteoarthritis has been prescribed meloxicam (Mobic). Which of the following instructions should the patient be given?
A) Take the medication with orange juice. B) Crush enteric-coated tablets to aid swallowing. C) Take the medication with food. D) Take the medication at bedtime.
A client has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
a. "I know I will need to have an abortion as soon as possible." b. "Even though my test is positive, my baby might not be affected." c. "My baby is certain to have AIDS and die within the first year of life." d. "This pregnancy will probably decrease the chance that I will develop AIDS."
Which of the following diagnostic tests indicates that a patient has a fluid volume deficit? Select all that apply
1. Elevated urine specific gravity 2. Decreased hemoglobin level 3. High hematocrit level 4. Elevated blood urea nitrogen (BUN) 5. Elevated red blood cell count
Betty, an angina patient, is asthmatic. Betty's doctor prescribes a combination of a nitrate and a beta-blocker to treat her angina. Which of the following combination of drugs is contraindicated?
A. Verapamil and isosorbide dinitrate B. Metoprolol and isosorbide dinitrate C. Nadolol and isosorbide dinitrate D. Atenolol and isosorbide dinitrate