A nurse assesses a male client who has symptoms of cirrhosis. Which questions should the nurse ask to identify potential factors contributing to this laboratory result? (Select all that apply.)

a. "How frequently do you drink alcohol?"
b. "Have you ever had sex with a man?"
c. "Do you have a family history of cancer?"
d. "Have you ever worked as a plumber?"
e. "Were you previously incarcerated?"


ANS: A, B, E
When assessing a client with suspected cirrhosis, the nurse should ask about alcohol consumption, including amount and frequency; sexual history and orientation (specifically men having sex with men); illicit drug use; history of tattoos; and history of military service, incarceration, or work as a firefighter, police officer, or health care provider. A family history of cancer and work as a plumber do not put the client at risk for cirrhosis.

Nursing

You might also like to view...

As the nurse finishes caring for clients on the 7 p.m. to 7 a.m. shift, clients are ready for:

1. Early morning care. 2. Morning care. 3. Afternoon care. 4. HS care.

Nursing

The 32-year-old mother who is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days is preparing to be visited by her 8-year-old twins. The nurse should include what in the preparations?

a. Instruct the children to visit at the bedside one at a time. b. Inform family that children cannot visit patients undergoing radiation. c. Put chairs in the hall for "long-distance" visitation. d. Allow visitation of only 3 minutes without any physical contact.

Nursing

Phenytoin requires that a trough level be drawn. Peak and trough levels are done:

1. When the drug has a wide therapeutic range 2. When the drug will be administered for a short time only 3. When there is a high correlation between the dose and saturation of receptor sites 4. To determine if a drug is in the therapeutic range

Nursing

A previously toilet trained toddler has started wetting again. A nurse is gathering a health history from the grandparent. Which health history finding will the nurse most likely consider as the cause of the wetting?

a. Dietary changes b. Recent parental death c. Playmate moved away d. Sibling was sick 2 days

Nursing