A nurse is reviewing the laboratory report of a client and realizes the liver function tests are elevated, indicating liver damage. The client should be monitored for which potential complication?
Reduced cardiac output
Abnormal coagulation
Electrolyte imbalance
Respiratory issues
The Correct Answer is B
A. Reduced cardiac output: While liver disease can affect circulation in later stages, abnormal coagulation is a more immediate concern.
B. Abnormal coagulation: The liver plays a vital role in producing proteins essential for blood clotting. Liver damage can impair this function, leading to increased bleeding risk.
C. Electrolyte imbalance: The liver plays a role in some aspects of electrolyte balance, but abnormal coagulation is a more specific and critical complication in early liver damage.
D. Respiratory issues: While liver disease can progress to respiratory complications in severe cases, abnormal coagulation is a more immediate threat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check with a reputable pharmacist: This option is a good practice, especially when starting any new medication or supplement regimen. Pharmacists are trained to understand drug interactions and potential adverse effects. They can provide valuable information about herbal products, their interactions with prescription medications, and potential allergic reactions. However, it might not be the best way to identify allergic reactions firsthand.
B. Take less than the recommended dose initially: This approach, known as dose titration, can be beneficial for identifying potential adverse reactions, including allergies. By starting with a smaller dose, the client can gauge their body's response to the herbal product. If there's any adverse reaction, it's likely to be less severe than if they took a full dose. This option allows for a controlled introduction to the herbal product. This option allows for a controlled introduction to the herbal product, minimizing the risk of severe adverse reactions while still providing valuable information about the client's tolerance and potential allergies.
C. Use only one herbal preparation at a time: This is a prudent approach because it simplifies the process of identifying the cause of any adverse reactions. If the client is using multiple herbal products simultaneously and experiences a reaction, it can be challenging to determine which product is responsible. Using only one product at a time helps isolate the source of any adverse effects, making it easier to identify allergies or other reactions.
D. Never take with prescription medications: This option is not entirely accurate. While it's essential to be cautious about potential interactions between herbal products and prescription medications, there are instances where they can be safely taken together. However, it's crucial to consult with a healthcare provider or pharmacist to ensure there are no contraindications or adverse effects when combining herbal products with prescription medications.
Correct Answer is D
Explanation
A. Most CAM therapies are totally ineffective: Incorrect. Dismissing all CAM therapies as ineffective without considering individual cases could lead to overlooking potentially helpful treatments for patients.
B. Additional treatment may not be needed: Incorrect. Collecting information about CAM use allows healthcare providers to assess the overall treatment regimen comprehensively.
C. Patients must be warned that most CAM therapies are dangerous: Incorrect. While some CAM therapies may carry risks, it's not accurate to generalize that most CAM therapies are dangerous.
D. CAM therapies could interact with prescription and OTC medications: Correct. Understanding potential interactions between CAM therapies and conventional medications is essential for patient safety and optimal treatment outcomes.
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