A patient with cirrhosis complains of the blandness of the low-protein diet and questions its effectiveness. The nurse reminds the patient that the low-protein diet helps his condition by:
a. decreasing the production of ammonia.
b. decreasing the production of urea.
c. supporting the manufacture of clotting factors.
d. decreasing the production of albumin.
A
The low-protein diet reduces the production of ammonia, the metabolic toxin that can cause he-patic coma. Protein is broken down in the bowel, and one of its metabolites is ammonia.
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A nurse is working in the emergency department when a 17-year-old patient presents in acute sickle cell crisis. He tells the nurse he is just getting over the flu and has been vomiting for three days
What is the nurse's highest priority for this patient? A) Start an IV and give fluids to hydrate the patient. B) Give morphine before completing the assessment because he is in pain. C) Give the patient some food because he has been vomiting. D) Leave the patient alone because he is in pain and doesn't want to be bothered.
A patient has developed a wound infection following a transmetatarsal foot amputation. The patient's wound has been producing copious amounts of exudate in recent days, necessitating several dressing changes each day
Which of the following wound care interventions may be indicated in the treatment of this patient's wound? A) Negative pressure wound therapy B) Hyperbaric oxygen therapy C) Débridement D) A collagen dressing
The client receives treatment with radioactive iodine (Iodine-131) therapy. What will the best evaluation by the nurse reveal?
1. The client will only temporarily accomplish the euthyroid state. 2. The client could safely become pregnant while receiving this treatment. 3. The client will most likely require thyroid replacement therapy. 4. The client does not have to distance herself from others.
A patient has had severe diarrhea for 2 weeks. Laboratory testing reveals Clostridium difficile. The primary care NP should prescribe:
a. erythromycin. b. azithromycin. c. fidaxomicin. d. clarithromycin.