A patient with a history of taking acetaminophen (Tylenol) for osteoarthritis pain is surprised to learn the diagnosis of liver failure
What will the nurse explain to the patient about this diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Liver damage can occur when the maximum daily dose of acetaminophen is taken repeatedly."
2. "If your body cannot remove the toxins from acetaminophen then liver damage occurs."
3. "Liver damage from acetaminophen can occur from taking as little as 4 grams of the medication a day."
4. "Liver damage from acetaminophen only occurs when taking 10 grams or more of the medication per dose."
5. "Liver damage from acetaminophen only occurs when it is taken with alcoholic beverages."
1,2,3
Rationale 1: When the maximum daily dose is repeatedly exceeded, the normal pathways of metabolism become saturated and more of the toxic metabolite is produced.
Rationale 2: When hepatic glutathione stores are depleted, the toxic substances accumulate causing hepatic injury.
Rationale 3: The minimal dose that produces liver injury varies between 4 to 10 grams.
Rationale 4: The minimal dose that produces liver injury varies between 4 to 10 grams per day.
Rationale 5: Liver damage from acetaminophen occurs with or without the ingestion of alcohol.
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During her first prenatal visit to the clinic at 7 weeks' gestation, a 24-year-old primiparous client comments, "My blood type is A-negative, and my husband's blood type is B-positive
Will that cause problems with my pregnancy?" The nurse's best response would be: 1. "There is no danger to your baby, but there could be a few minor complications for you. Let's talk about what we can do to prevent those." 2. "We will do a blood test to see if your body is responding to the baby's blood type. If so, we will give the baby some medication to prevent harm." 3. "Because your partner is positive and you are negative, there is some risk to the baby, but because this is your first pregnancy, the risks are very small." 4. "If you were O-negative, you might have ABO incompatibility because of your partner's blood type; but since you are type A, there should be no problem."
The nurse explains that to promote deep breathing and improve lung expansion and oxygenation the patient should use the _____________ ______________ at regular intervals during the day
ANS:
The nurse is evaluating the components of the computer system used in the agency. The nurse concludes that the clinical information system and administrative information system function as:
1. Separate entities. 2. Tools to manage finances. 3. Support to each other. 4. Demographic tools.
Beta-carotene is an important vitamin for vision. To help ensure a client incorporates this in his diet, which of the following foods such the nurse encourage the client to eat?
A) Citrus juice B) Egg yolks C) Vegetable oils D) Winter squash