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 B

Explanation

Choice A rationale
Broccoli is a high-fiber food, and while it is generally healthy, it may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.
Choice B rationale

Grilled chicken breast is a good choice for individuals with Crohn’s disease. It is a lean protein source and is usually well-tolerated. Protein is important for repairing body tissues and maintaining a healthy immune system.
Choice C rationale
A vanilla milkshake may not be the best choice for someone with Crohn’s disease. Dairy products can cause digestive symptoms in people who are lactose intolerant, and many people with Crohn’s disease have lactose intolerance.
Choice D rationale
Buttered popcorn is a high-fiber food and may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.

A. “Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”. B. “The doctor has been so good to me. I know he has tried everything he can. It is just my time.”. C. “The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”. D. “I can’t believe that doctor graduated from medical school. He doesn’t know a thing about treating cancer.”.

Correct Answer is C

Explanation

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

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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 nurse is educating a client with Crohn’s disease about dietary choices. Which food should the nurse recommend as part of the diet?

Correct Answer is B

Explanation

A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

Correct Answer is C

Explanation

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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?

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