If a patient with cirrhosis of the liver seems to be vulnerable to development of hepatic encephalopathy, his or her diet may be supplemented with a formula that contains _____ acids
a. essential fatty
b. essential amino
c. aromatic amino
d. branched-chain amino
D
Patients who are vulnerable to development of hepatic encephalopathy may be given a formula that contains branched-chain amino acids and restricted aromatic amino acids to ensure adequate protein intake with minimal ammonia production. Essential fatty acids and essential amino acids do not help prevent hepatic encephalopathy.
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As a nurse who works with clients diagnosed with eating disorders, you know that to elicit unbiased data from the client it is important for you to do what?
A) Confront the clients when you believe they are lying B) Elicit data on how the clients view their body C) Encourage the clients to discuss their needs with their families D) Examine your own feelings about food, dieting, and body image
A patient who has recently begun taking carbamazepine [Equetro] for bipolar disorder reports having vertigo and headaches. Which action by the nurse is appropriate?
a. Ask the provider whether another medica-tion can be used for this patient, because the patient is showing signs of toxicity. b. Contact the provider to request a complete blood count (CBC) to evaluate for other, more serious side effects. c. Reassure the patient that these effects oc-cur early in treatment and will resolve over time. d. Review the patient's chart for cytochrome P450 enzymes to see whether an increased dose is needed.
A nurse is scheduled to interview a new patient, a Muslim college professor from the Middle East. Which action by the nurse would support cultural competence?
a. Serve the patient a cold beverage at the beginning of the interview. b. Review Middle Eastern cultural values before the interview. c. Avoid offering to shake hands with the patient. d. Determine if a translator is available.
What is a risk factor for older patients taking frequent doses of antacids with aluminum?
A) Reduced absorption of phosphorus and fluoride and increased calcium excretion B) Reduced absorption and increased intestinal elimination of phosphate C) Sodium overload and water retention D) Increased potassium and magnesium excretion