The patient's cirrhosis of the liver has also caused a dilation of the veins of the lower esophagus secondary to portal hypertension, resulting in the development of the complication of:

a. esophageal varices.
b. diverticulosis.
c. Crohn disease.
d. esophageal reflux (GERD).


ANS: A
Esophageal varices (a complex of longitudinal, tortuous veins at the lower end of the esophagus) enlarge and become edematous as the result of portal hypertension.

Nursing

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A patient is administered metoclopramide (Reglan). The patient has an elevated creatinine level. Which of the following is important when administering metoclopramide to this patient?

A) Administer the routine dose B) Administer a lower dose C) Administer a higher dose D) Hold the medication

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The portion of total ventilation that participates in gas exchange is known as

a. alveolar dead space. c. physiologic dead space. b. anatomic dead space. d. alveolar ventilation.

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Which model exemplifies a patient who states the following, "I am responsible for my own health and well-being and I will partner with you (my nurse) to make sure I am ready to be discharged after surgery"?

a. Basic Human Needs Model b. Absence of Disease Model c. Holistic Health Model d. Healthy People 2020 Model

Nursing

A patient undergoing penicillin therapy shows improvement and states that he is feeling better. Which of the following interventions is the nurse most likely to perform in such a situation?

A) Instruct patient to increase dietary intake. B) Inform the primary health provider immediately. C) Record assessments on patient's chart. D) Inquire about any previous drug allergies.

Nursing