A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

Instruct the client to cut back to drinking one or two drinks per day.

Educate the client about the disease.

Introduce the client to other people who do not drink alcohol.

Tell the client that their liver has been destroyed by alcohol.

Answer and Explanation

The Correct Answer is B

Choice A reason: Instructing the client to cut back to one or two drinks per day may not be eﬀective for someone with cirrhosis, as any amount of alcohol can be harmful.

Choice B reason: Educating the client about the disease and the specific risks associated with alcohol consumption can provide the motivation needed to make a change.

Choice C reason: Introducing the client to other people who do not drink alcohol could provide social support, but it is not the primary step in motivating change.

Choice D reason: Telling the client that their liver has been destroyed by alcohol might be factual, but it is not a constructive approach to motivate change.

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Correct Answer is A

Explanation

Choice A reason: Hyperkalemia is a common electrolyte imbalance in prerenal AKI due to decreased kidney function and the inability to excrete potassium.

Choice B reason: Hypernatremia is not typically expected in prerenal AKI unless there is an associated condition causing increased sodium retention.

Choice C reason: Hypercalcemia is not commonly associated with prerenal AKI.

Choice D reason: Hypophosphatemia is less likely in prerenal AKI; hyperphosphatemia is more common due to decreased filtration of phosphate.

A. Right arm muscle spasms B. Temperature of 99.9°F (37.7°C) C. Loss of the right radial pulse D. Pain with right arm movement

Correct Answer is C

Explanation

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

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Naxlex Comprehensive Predictor Exams

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Explanation

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