A nurse is obtaining an admission history on a patient who reports daily drinking for several years. When the nurse questions the patient further, the patient reports drinking up to five or six drinks each day
The patient expresses worry about liver damage. What will the nurse do? a. Contact the patient's provider to request liver function studies.
b. Explain that hepatitis, progressing to se-vere liver impairment, is likely.
c. Inform the patient that the history indi-cates that cirrhosis is likely to occur.
d. Tell the patient that stopping drinking will reverse any effects on the liver.
A
Chronic drinking can lead to hepatitis in about 90% of heavy users. The nurse would be correct to request laboratory studies of liver function. Until the laboratory values are known, the degree of damage to the liver is unknown, so the likelihood of severe outcomes cannot be predicted. Acute drinking causes the accumulation of fat and protein in the liver, which is reversible, but this may not be the case with chronic drinking.
You might also like to view...
A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain?
A) Myocardial infarction B) Intermittent claudication C) Hypertension D) Angina pectoris
The nurse is grading muscle strength during an assessment. The nurse should document strength of the arms as a 3 if:
1. the client could perform full range of motion (ROM) against full resistance. 2. the client could maintain ROM against gravity. 3. the nurse could feel contraction when there was no movement. 4. the client could perform full ROM against moderate resistance.
A licensed practical nurse (LPN) has delegated a task to unlicensed assistive personnel (UAP). Who is accountable for evaluating the results of the tasks?
A) Physician B) Shift supervisor C) UAP D) LPN
Which demonstrates the school-age child's developing logic in the stage of concrete operations? Select all that apply
a. The school-age child is able to recognize that 1 lb of feathers is equal to 1 lb of metal. b. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time. c. The school-age child understands the principles of adding, subtracting, and reversibility. d. The school-age child has thinking that is characterized by egocentrism, animism, and centration.