The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy. Which finding should the nurse consider an indication of progressive hepatic encephalopathy?
A) An increase in abdominal girth.
B) Hypertension and a bounding pulse.
C) Decreased bowel sounds.
D) Difficulty in handwriting.
Ans: D) Difficulty in handwriting.
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A nurse is performing an admission assessment on a patient with suspected tuberculosis. What assessment findings by the nurse are consistent with tuberculosis?
a. Hemoptysis b. Weight gain c. Night terrors d. Hypothermia
The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol) poisoning. What potential complications from the use of activated charcoal should the nurse plan to assess for? (Select all that apply.)
a. Diarrhea b. Vomiting c. Fluid retention d. Intestinal obstruction
Why should a patient with GERD avoid substances such as chocolate, peppermint, alcohol, nicotine, and caffeinated drinks?
a. These substances increase the pressure in the lower esophageal sphincter and lead to reflux. b. These substances decrease the pressure in the lower esophageal sphincter leading to reflux. c. These substances increase the pressure in the duodenal sphincter causing reflux and emesis. d. These substances decrease the pressure in the duodenal sphincter causing reflux and emesis.
The nurse clarifies to the frightened mother of a child who has had a febrile seizure that these seizures usually occur when the temperature:
a. Reaches 102° b. Is over 99° c. Is from a bacterial infection d. Is on the rise