A client with cirrhosis is complaining of severe pruritus related to the accumulation of bile salts. What can be prescribed for the client to relieve the itching?
A) Cholestyramine (Questran)
B) Kanamycin (Kantrex)
C) Lactulose (Cephulac)
D) Cyclosporine (Sandimmune)
A
Feedback:
Cholestyramine (Questran) may be prescribed to bind bile salts and relieve pruritus. Kanamycin (Kantrex) is prescribed to reduce the bacterial count in the intestine. Lactulose (Cephulac) is used to decrease the amount of ammonia level in the blood. Cyclosporine (Sandimmune) is used to prevent rejection of a transplanted organ.
You might also like to view...
The nurse is collecting data concerning the client's chief complaint. The client reports having attempted to manage the illness using herbs. Which response by the nurse is most therapeutic?
1. "What herbs have been used to manage your condition?" 2. "Does your healthcare provider know about your herbal remedies?" 3. "Don't you realize your recovery may have been impeded by these herbal preparations?" 4. "When was the last dosage of the herbal remedies taken?"
The nurse educator is teaching a management and leadership class to a group of nursing students. The educator presents information regarding case management and case manager
Which statement, if made by a student, indicates the need for additional education on this subject matter? A) "Case managers can only be licensed professional nurses who have extensive patient care experience." B) "The collection of baseline data for conditions or diagnoses that will be managed is an essential component of case management." C) "Case managers usually do not provide direct client care; instead, they coordinate and monitor others providing direct client care." D) "A case manager's typical caseload is 10-15 clients, mostly representing high-volume, high-cost, and high-risk diagnoses for the hospital."
A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional roller-coaster.". Which response by the nurse would be most appropriate?
A) "How often has this been happening to you?" B) "Maybe you need some medication to level things out.". C) "Mood swings are completely normal during pregnancy.". D) "Have you been experiencing any thoughts of harming yourself?"
After undergoing retropubic prostatectomy, a client returns to his room. The client is on nothing-by-mouth status and has an I.V. infusing in his right forearm at a rate of 100 ml/hour. The client also has an indwelling urinary catheter that's draining light pink urine. While assessing the client, the nurse notes that his urine output is red and has dropped to 15 ml and 10 ml for the last 2 consecutive hours. How can the nurse best explain this drop in urine output?
a) It's a normal finding associated with the client's nothing-by-mouth status. b) It's a normal finding caused by blood loss during surgery. c) It's an abnormal finding that will correct itself when the client ambulates. d) It's an abnormal finding that requires further assessment.