A 54-year-old reports vomiting blood. Tests reveal portal hypertension. Which of the following is the most likely cause of this condition?

a. Thrombosis in the spleen
b. Cirrhosis of the liver
c. Left ventricular failure
d. Renal stenosis


ANS: B
Portal hypertension occurs secondarily to cirrhosis of the liver. Portal hypertension is not associ-ated with thrombosis of the spleen, left ventricular failure, or renal stenosis.

Nursing

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What is the most common initial response of an employee to a manager's confrontation regarding suspected chemical impairment?

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The nurse is caring for an African-American patient who is taking warfarin (Coumadin) to prevent blood clots. The nurse will monitor this patient carefully for which effect?

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