A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

Instruct the client to cut back to drinking one or two drinks per day.

Educate the client about the disease.

Introduce the client to other people who do not drink alcohol.

Tell the client that their liver has been destroyed by alcohol.

Answer and Explanation

The Correct Answer is B

Choice A reason: Instructing the client to cut back to one or two drinks per day may not be eﬀective for someone with cirrhosis, as any amount of alcohol can be harmful.

Choice B reason: Educating the client about the disease and the specific risks associated with alcohol consumption can provide the motivation needed to make a change.

Choice C reason: Introducing the client to other people who do not drink alcohol could provide social support, but it is not the primary step in motivating change.

Choice D reason: Telling the client that their liver has been destroyed by alcohol might be factual, but it is not a constructive approach to motivate change.

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Correct Answer is D

Explanation

Choice A reason: Urine output is important but not the priority after administration of fibrinolytic medication.

Choice B reason: Vital signs are routinely monitored but the priority is assessing for any signs of complications from the medication, such as bleeding or stroke.

Choice C reason: The name of the patient's dog is irrelevant to the patient's medical care and assessment.

Choice D reason: Neurological status is the priority to monitor for signs of intracranial hemorrhage, a potential complication of fibrinolytic therapy.

A. Lactated Ringer's solution B. 0.45% sodium chloride (0.45% NaCl) C. 10% dextrose in water (D10W) D. 5% dextrose in lactated Ringer's solution (D5LR)

Correct Answer is C

Explanation

Choice A reason: Lactated Ringer's solution does not provide the necessary glucose and may not be compatible with TPN.

Choice B reason: 0.45% sodium chloride (0.45% NaCl) is a hypotonic solution and does not provide adequate calories for a patient on TPN.

Choice C reason: 10% dextrose in water (D10W) is the appropriate choice as it provides a source of calories and prevents hypoglycemia until the next TPN bag is available.

Choice D reason: 5% dextrose in lactated Ringer's solution (D5LR) provides less dextrose than D10W and may not prevent hypoglycemia as eﬀectively.

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A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

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