A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?
Encourage eating three large meals daily.
Provide a high carbohydrate diet.
Include high protein snacks.
Administer acetaminophen for pain.
The Correct Answer is B
Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A tall, peaked T wave on an ECG is a classic sign of elevated potassium levels, which can progress to life-threatening arrhythmias if untreated.
B. Hypocalcemia is incorrect; it is associated with prolonged QT intervals and tetany, not peaked T waves.
C. Hyponatremia is incorrect; it typically causes neurologic symptoms (confusion, seizures) rather than characteristic ECG changes.
D. Hypomagnesemia is incorrect; it can cause prolonged QT and torsades de pointes, but not peaked T waves.
Correct Answer is ["A","C","E"]
Explanation
Rationale:
- Retaining the fluid allows the enema to soften stool and stimulate peristalsis effectively.
- Avoiding frequent use prevents dependence and irritation of the bowel.
- Following provider instructions ensures safe and appropriate selection of enema type and solution for the client’s condition.
- Electrolyte imbalances, benefits of solutions, and fluid intake are important considerations but are broader teaching points, not immediate enema administration instructions.
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