A patient is admitted to your unit with hepatomegaly secondary to hepatitis. When conducting patient education, the nurse should counsel the patient to
a. avoid alcohol and acetaminophen.
b. have monthly liver enzymes drawn.
c. measure the abdominal girth to monitor liver enlargement and report findings to the prescriber.
d. discontinue use of all drugs metabolized in the liver.
A
Acetaminophen (Tylenol) and alcohol are contraindicated in a patient with liver problems, be-cause both increase the risk for hepatotoxicity.
Having liver enzymes drawn monthly is too frequent; they usually are drawn every 3 months. Although important, they are not the most important piece of information to teach related to the daily activities of the patient.
Measurement of the abdominal girth to monitor for liver enlargement is a nursing intervention, not a patient intervention.
Discontinuation of all drugs metabolized in the liver is not feasible, because most are metabolized by the liver.
You might also like to view...
A new nurse is caring for a child after spinal fusion to correct scoliosis. Which action by the new nurse causes the experienced nurse to intervene?
A. Assesses neurological status and vital signs every hour B. Instructs patient to turn by pulling on side rails C. Monitors chest tube for air leakage and drainage D. Promotes use of the incentive spirometer each hour
A family will most likely lose their primary nighttime residence within the next week. Which of the following terms best describes their situation in relation to homelessness?
a. Homeless under other federal statutes b. Literally homeless c. Imminent risk of homelessness d. Fleeing/attempting to flee domestic violence (DV)
Variable decelerations are most likely to occur because of:
a. Head compression b. Cord compression c. Uteroplacental insufficiency d. Posterior fetal position
A client receives Medicare, has limited income, and lives in a large city. Which factors are likely to limit the client's ability to access healthcare? (Select all that apply.)
A) Inability to afford supplemental insurance B) Living in an urban environment C) High out-of-pocket expenses D) Preexisting conditions E) Lack of in-network providers in her region