A patient with end-stage liver disease may lose fat stores and muscle mass, but this may not be evident from measurements of body weight because of
a. dehydration.
b. fat redistribution.
c. ascites and edema.
d. electrolyte imbalances.
C
Patients with end-stage liver disease often accumulate fluid due to ascites and edema. This in-creases body weight, which may mask fat and muscle losses. Patients with end-stage liver disease are not usually dehydrated and do not usually have electrolyte imbalances. Fat infiltrates the liver but is not otherwise redistributed in the body.
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The nurse performs a visual assessment on a patient and is documenting the findings as the acronym PERRLA. What does PERRLA indicate?
a. Palpebral angle rigid, right and left angles b. Patient's eyes round, regular, lively, active c. Pupils equilateral, regular, round, little accommodation d. Pupils equal, round, and reactive to light and accommodation
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A) Keep a record of when the incontinence occurs. B) Perform clean intermittent catheterization. C) Perform Kegel exercises 4 to 6 times per day. D) Wear a protective undergarment as incontinence is part of aging.
The school nurse is talking with a high school class about sexual transmission of HIV. Which of the following would the nurse advise the students?
A) "Oral-penile intercourse carries the highest risk of transmission." B) "Penile-vaginal and penile-anal intercourse most efficiently transmit the virus." C) "HIV-infected females cannot transmit HIV to their partners." D) "Kissing can transmit HIV."
If a patient on digoxin has a pulse that is less than ________ beats per minute, do not give the drug; instead, notify the nurse.
Fill in the blank(s) with the appropriate word(s).