A patient with liver failure manifested by portal hypertension and ascites is hospitalized and waiting for a liver transplant. Which of the following orders should the nurse question?
a. Low-sodium diet
b. Low-protein diet
c. ABO typing
d. Human leukocytic antigen tissue typing
D
Liver failure is managed with a low-protein diet to decrease the risk of hepatic encephalopathy. A low-sodium diet is ordered to help manage the ascites. Blood type and body size are used to match a liver donor, not HLA testing.
You might also like to view...
Which interventions should the nurse use to reduce the risk of aspiration for an older patient with dysphagia? Standard Text: Select all that apply
1. Monitor during meals for a change in respirations. 2. Maintain an upright position for 1 hour after eating. 3. Raise the head of the bed to a 90 degree angle during meals. 4. Provide pureed solid foods and thin clear liquids during meals. 5. Ensure that one bite has been swallowed before providing another.
A client tells the nurse that she often does not defecate when she has the urge because of time. The nurse realizes that failure to heed the urge to defecate can result in:
a. diarrhea. b. irritable bowel syndrome. c. constipation. d. water-loss stools.
The glenohumeral joint is the other name for the:
a. elbow. b. shoulder. c. wrist. d. scapula.
The nurse is assisting the physician with insertion of a chest tube. The nurse notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this observation, the nurse takes which of the following actions?
1. Ensure that suction is turned on. 2. Reinforce the occlusive dressing. 3. Encourage the client to breathe deeply. 4. Document the accurate functioning of the tube.