A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can give me to dissolve them?" What medication does the nurse know may help dissolve the gallstones?

A) Pancreatin (Creon)
B) Chenodiol (Chenix)
C) Tacrolimus (Prograf)
D) Cyclosporine (Sandimmune)


B
Feedback:
Chenodiol (Chenix) suppresses hepatic synthesis of cholesterol and cholic acid to dissolve gallstones. It is administered orally to dissolve gallstones and may require long-term therapy for effectiveness. Pancreatin (Creon) is a pancreatic enzyme and does not have the properties to dissolve gallstones. Tacrolimus (Prograf) is used to prevent transplant rejection as is cyclosporine (Sandimmune).

Nursing

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Martha Nelson, 89 years old, has become increasingly confused over the past year. Her daughter reports that the confusion seems to be increasing steadily. What is the most likely source of Mrs. Nelson's confusion?

a. Depression b. Delirium c. Dementia d. Normal aging

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The nurse admitting clients to an intensive care unit understands that research demonstrates best client outcomes when clients

a. are in an area that allows liberal family visitation. b. have consistent nurses caring for them. c. have state of the art physiologic monitoring. d. receive multidisciplinary care led by an intensivist.

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The client is being admitted for a total hip replacement. She says that she is glad she will be having anesthesia shortly because she has a painful abscessed tooth and is taking an antibiotic for it. What is the nurse's best action?

A. Take the client's temperature. B. Notify the surgeon immediately. C. Document the report as the only action. D. Arrange for the client to receive the antibiotic intravenously.

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The nurse should recommend that persons who have engaged in high-risk behavior be tested for HIV. The responsibilities of persons who are HIV infected include which of the follow-ing? Select all that apply

1. Have regular medical evaluations and follow-ups. 2. Do not donate blood, plasma, body organs, or sperm. 3. Inform health care providers about the HIV infection. 4. Consider the risk of perinatal transmission and follow-up with contraceptive use.

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