The nurse is caring for a patient with hepatic encephalopathy. Which prescribed medication should the nurse question before providing to this patient?
a. Vitamin K
b. Neomycin sulfate
c. Diazepam (Valium)
d. Lactulose (Cephulac)
ANS: C
The nurse should question medications such as sedatives, opioids, and tranquilizers because these can precipitate hepatic encephalopathy. Valium is a sedative. A. B. D. These medications are all used in the treatment of liver disorders.
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Which of the following facilitates communication in interdisciplinary team (IDT) conferences?
a. Setting time limits on the discussion of each resident b. Requiring that all members attend on time and are prepared c. Writing the needed changes in the plan of care before the meeting d. Inviting the family to meet with individual members of the team rather than coming to IDT meetings
Which laboratory finding would be anticipated in the client admitted with ulcerative colitis?
A. A decreased WBC B. An increased total protein level C. An elevated erythrocyte sedimentation rate D. An increased serum potassium level
A public health nurse (PHN) is moving from his or her hometown in the Northeastern United States to a new position in Southern California. When beginning the local community assessments, what might the PHN notice about how the environment affects regional
A. People living in the colder Northeast climate are more likely to socialize around outdoor experiences. B. Clothing styles are very similar. C. Food choices in Southern California tend to be lighter and revolve around fresh produce. D. None of the above
In what way did the 1996 Health Insurance Portability and Accountability Act (HIPAA) affect nursing practice? Select all that apply
A. It established a procedure for the client to choose with whom he or she wants information shared. B. All care providers must assist clients in submitting claims for insurance reimbursement. C. All health agencies must tell clients exactly with whom their personal information will be shared. D. All health agencies must help clients establish insurance eligibility. E. All health agencies must ensure that only persons immediately involved in the client's care have access to the client's health records. F. All health care providers must protect client confidentiality by not writing any personal information in their medical record.