When a patient has hepatic encephalopathy, medications often administered to relieve toxic blood chemistry include:
a. vasopressin, Capoten.
b. milk of magnesia, Metamucil.
c. neomycin, lactulose.
d. HydroDIURIL.
C
The buildup of ammonia can be prevented with the use of lactulose (Chronulac) and neomycin. Preventing the buildup of ammonia will prevent hepatic encephalopathy from breakdown of blood and the release of ammonia in the intestine.
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An older patient complains of pruritus. The nurse suggests which of the following interventions to alleviate the patient's complaint? (Select all that apply.)
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Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which grade?
A) Grade II B) Grade III C) Grade IV D) Grade V
During the preoperative interview the nurse obtains information about the client's medication history. Which of the following is not necessary to record about the client?
a) Current use of medications, herbs, and vitamins b) Over the counter medication use in the last 6 weeks. c) Steroid use in the last year. d) Use of all drugs taken in the last 18 months.
An 80-year-old patient with congestive heart failure has a viral upper respiratory infection. The patient asks the primary care NP about treating the fever, which is 38.5° C. The NP should:
a. recommend acetaminophen. b. recommend high-dose acetaminophen. c. tell the patient that antibiotics are needed with a fever that high. d. tell the patient a fever less than 40° C does not need to be treated.