A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?

Asterixis

Fetor hepaticus

Palmar erythema

Constructional apraxia

Answer and Explanation

The Correct Answer is A

Choice A reason:

Asterixis is a characteristic sign of hepatic encephalopathy, characterized by a flapping tremor of the hands. It is associated with liver dysfunction and is indicative of impaired ammonia metabolism in the brain.

Choice B reason:

Fetor hepaticus refers to a musty, sweet odor of the breath that is associated with severe liver disease. It is not related to the flapping tremor observed in this case.

Choice C reason:

Palmar erythema is a reddening of the palms and is associated with various conditions, including liver disease. However, it is not the sign described in the scenario.

Choice D reason:

Constructional apraxia is a neurological deficit characterized by difficulty in copying or constructing simple drawings or designs. It is not related to the flapping tremor seen in hepatic encephalopathy.

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Correct Answer is D

Explanation

Choice A reason:

Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.

Choice B reason:

Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.

Choice C reason:

Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.

Choice D reason:

This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.

Correct Answer is ["10"]

Explanation

Read the medication label carefully and check the dosage and concentration of Ceclor.
The label shows that Ceclor is available as a suspension with 250 mg/5 mL.
To calculate the volume of medication needed, use the formula: Volume = Dose / Concentration
Plug in the values from the order and the label: Volume = 0.5 g / (250 mg/5 mL)
Convert grams to milligrams by multiplying by 1000: Volume = 500 mg / (250 mg/5 mL)
Simplify the fraction by dividing both numerator and denominator by 250: Volume = 2 / (1/5)
Invert and multiply the fractions: Volume = 2 x 5
Solve for volume: Volume = 10 mL
The patient will receive 10 mL of Ceclor suspension.

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A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

Correct Answer is D

Explanation

The physician has ordered Ceclor 0.5 g to be administered orally now. Below you will see the medication label for this medication. How many milliliters of this medication will this patient receive?

Correct Answer is ["10"]

Explanation

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