A nurse is caring for a patient 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 patient to change?

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

Introduce the patient to other people.

Educate the patient about the disease.

Instruct the patient to cut back to drinking one drink per day.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Telling the patient that their liver has been destroyed by alcohol might not be the most effective way to motivate change. It could potentially lead to feelings of hopelessness and deter the patient from seeking help.
Choice B rationale

Introducing the patient to other people might not directly motivate them to change their alcohol consumption habits. However, it could potentially provide them with a supportive network that could help them in their journey to sobriety.
Choice C rationale
Educating the patient about the disease can be very beneficial. Understanding the effects of alcohol on their liver and the potential consequences of continued drinking can motivate them to change.
Choice D rationale
Instructing the patient to cut back to drinking one drink per day might not be the best advice for a patient with cirrhosis of the liver. Complete abstinence from alcohol is usually recommended for these patients to prevent further liver damage.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
Patients with a nasogastric (NG) tube to suction are at risk for hypokalemia. Hypokalemia, or low potassium levels, can occur due to increased losses from the gastrointestinal tract, which can occur with NG tube suction. Potassium is an essential electrolyte that plays a vital role in many bodily functions, particularly in the heart and cardiovascular system. Therefore, any condition or intervention that leads to a significant loss of potassium, such as NG tube suction, can potentially lead to hypokalemia.
Choice B rationale

A tracheostomy tube attached to humidified oxygen is primarily used to help a patient breathe. It does not typically contribute to potassium loss or imbalance. Therefore, it is not likely to increase the risk of hypokalemia.
Choice C rationale
An indwelling urinary catheter to gravity drainage is used to drain urine from the bladder. While the kidneys do play a role in maintaining potassium balance, the use of a urinary catheter itself does not typically lead to significant potassium loss or increase the risk of hypokalemia.
Choice D rationale
A chest tube to water seal is used to remove air, fluid, or pus from the pleural space to help the lungs expand properly. It does not typically contribute to potassium loss or imbalance.
Therefore, it is not likely to increase the risk of hypokalemia.

A. Free T4. B. Serum T3. C. Thyroid stimulating hormone (TSH). D. Serum calcium.

Correct Answer is C

Explanation

Choice A rationale
Free T4 levels are typically low in primary hypothyroidism, not elevated.

Choice B rationale
Serum T3 levels are also typically low in primary hypothyroidism.
Choice C rationale
In primary hypothyroidism, the thyroid gland is not producing enough thyroid hormone, leading to an elevated TSH level as the pituitary gland tries to stimulate more hormone production.
Choice D rationale
Serum calcium levels are not directly affected by primary hypothyroidism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a patient 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 patient to change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

Correct Answer is A

Explanation

A nurse in a clinic is reviewing the laboratory values of a patient who has primary hypothyroidism. The nurse should anticipate an elevation in which of the following laboratory values?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with systemic scleroderma five years ago. The nurse plans to assess the client to document the disease’s progression. In addition to skin changes, which of the following findings should the nurse expect?

A nurse is providing discharge instructions to a client who has hypertension, which has resulted in a transient ischemic attack (TIA). What information regarding blood pressure (BP) management should the nurse discuss with the client?

A nurse is educating a patient with diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the patient?

A nurse is assessing a patient who is 48 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

The nurse doesn’t hear any gurgling while listening to bowel sounds. What should be the nurse’s next course of action?

A nurse is teaching a patient about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

A nurse is educating a patient who has a history of ulcerative colitis and has recently been diagnosed with anemia. Which of the following symptoms of colitis should the nurse identify as a contributing factor to the development of anemia?

A nurse admits a patient to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

A nurse is caring for a patient 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 patient to change?