The nurse is taking a medication history for a patient with liver disease. Which medication would be of most concern to the nurse?

Famotidine

Levothyroxine

Furosemide

Acetaminophen

Answer and Explanation

The Correct Answer is D

Choice A rationale
Famotidine is a histamine-2 blocker used to decrease the amount of acid the stomach produces. It is not typically associated with liver disease.
Choice B rationale
Levothyroxine is a thyroid hormone used to treat hypothyroidism. It is not typically associated with liver disease.
Choice C rationale
Furosemide is a diuretic used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. It is not typically associated with liver disease.
Choice D rationale
Acetaminophen is a common over-the-counter medication used to relieve pain and reduce fever. However, high doses or long-term use of acetaminophen can cause liver damage.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
After a subtotal gastrectomy, the patient’s diet will need to be modified. They will need to eat pureed foods and liquids for 3 weeks after the surgery. They may also need to use liquid nutritional supplements recommended by a healthcare provider to make sure they get enough calories.
Choice B rationale
Medication management is crucial after a subtotal gastrectomy. The patient will need to take their medicines in crushed or liquid form for 3 weeks after surgery.
Choice C rationale
Awareness of signs of complications is important for the patient after a subtotal gastrectomy. Complications can include infection, redness, swelling inside the belly (peritonitis) that can occur if the appendix bursts during surgery, blocked bowels, and injury to nearby organs.
Choice D rationale
Understanding the importance of follow-up appointments is crucial for the patient after a subtotal gastrectomy. Regular follow-ups allow the healthcare provider to monitor the patient’s recovery and address any potential issues promptly.

A. Ecchymosis of the extremities. B. Fatty stools. C. Straw-colored urine. D. Tenderness in the left upper abdomen.

Correct Answer is B

Explanation

Choice A rationale
Ecchymosis of the extremities is not a typical finding in a patient with an obstruction and inflammation of the common bile duct due to cholelithiasis.
Choice B rationale
Fatty stools, or steatorrhea, is a common symptom in patients with cholelithiasis. This is because the obstruction in the common bile duct can prevent the flow of bile, which is necessary for the digestion and absorption of fats.
Choice C rationale

Straw-colored urine is not typically associated with cholelithiasis. Dark urine can be a symptom of this condition, as the obstruction can cause bilirubin to leak into the blood and urine.
Choice D rationale
Tenderness in the left upper abdomen is not a typical symptom of cholelithiasis. Pain associated with this condition is usually located in the right upper quadrant or the middle upper part of the abdomen.

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The nurse is taking a medication history for a patient with liver disease. Which medication would be of most concern to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is collecting data from a patient who has an obstruction and inflammation of the common bile duct due to cholelithiasis. Which finding is expected for this condition?

Correct Answer is B

Explanation

The nurse is reviewing the medical record of a patient with peritonitis. Which prescription should prompt the nurse to seek clarification from the gastroenterologist?

The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

A nurse is caring for a postoperative patient. When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)

The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

The nurse is providing care for a patient who had surgical repair of a paraesophageal (rolling) hernia. The nurse observes that the patient is having difficulty swallowing during the first postoperative meal.What action should the nurse take?

A nurse is providing care for a client who has recently been diagnosed with Clostridium difficile and is under contact precautions. What action should the nurse take?

The nurse is caring for a client who received a new diet prescription from the physician for nothing by mouth (NPO) except ice chips. Which actions would the nurse take to alleviate the effects of dehydration? Select all that apply

A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening. Which statement by the patient indicates a need for further teaching?