A nurse provides teaching to a patient who will begin taking a drug with a known risk of hepatotoxicity. Which statement by the patient indicates a need for further teaching?
a. "I should avoid taking acetaminophen while taking this drug."
b. "I will need periodic evaluation of aspar-tate aminotransferase and alanine amino-transferase levels."
c. "If I experience nausea, vomiting, or ab-dominal pain, I should call my provider."
d. "Routine testing and early detection of problems will prevent liver failure."
D
Drug-induced liver injury can progress from undetectable to advanced between routine tests; therefore, routine testing does not always prevent liver failure. Patients taking known hepatotoxic drugs should avoid other drugs, such as acetaminophen, that can cause liver damage. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are liver enzymes that are routinely monitored when a patient is taking hepatotoxic drugs. Nausea, vomiting, and abdominal pain are signs of liver injury and should be reported.
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When caring for a patient, a nurse maintains an environment that is free of negative energy. The nurse is demonstrating care based on nursing theorist
1. Imogene King. 2. Betty Neuman. 3. Martha Rogers. 4. Sister Callista Roy.
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