A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse?
Select one:

"I need to practice safe sex to prevent spreading the virus."

"I can donate blood once I feel better."

"I should eat a well-balanced diet to support liver health."

"I should avoid drinking alcohol."

Answer and Explanation

The Correct Answer is D

A. While practicing safe sex is important to prevent transmission of hepatitis B, it does not address the patient’s question about metformin and liver health.
B. Clients with hepatitis B should not donate blood due to the risk of virus transmission, but this is unrelated to metformin use.
C. A well-balanced diet is important for liver health, but this is a general recommendation and does not directly relate to the concern about blood sugar or medication use.
D. Metformin is processed in the liver, and in individuals with hepatitis B (a liver disease), alcohol can worsen liver damage. The best response is to avoid alcohol, as it could compound liver injury when using liver-metabolized medications like metformin.

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Correct Answer is B

Explanation

A. Adolescents and teens generally have more stable liver and kidney function, so they are less likely to have complications from preanesthetic drugs.
B. Older adults are at higher risk due to age-related changes in liver and kidney function, which slow the metabolism and excretion of medications. They are also more likely to have comorbidities and may take multiple medications that can interact with anesthesia.
C. Obese patients do face some risk due to altered drug distribution and respiratory issues, but not as high as older adults regarding drug metabolism and sensitivity.
D. Infants are vulnerable too, especially neonates, due to immature liver and renal systems, but older adults still generally face greater risk from preanesthetic drugs due to accumulated comorbidities and physiological decline.

A. "A biopsy is the only definitive way to diagnose cancer." B. "It will determine if you have an infection instead of cancer." C. "It will confirm the presence of metastasis." D. "A biopsy can detect genetic mutations associated with cancer."

Correct Answer is A

Explanation

A. A biopsy involves obtaining a tissue sample for microscopic examination, which is the gold standard for confirming the presence and type of cancer.
B. While a biopsy may incidentally detect infection, it is not primarily used to differentiate infection from cancer.
C. While biopsies can identify cancer in a specific tissue, imaging studies and additional biopsies are typically needed to confirm metastasis.
D. Although molecular testing on biopsy samples can be done later to detect mutations, the primary purpose of a biopsy is to diagnose whether cancer is present.

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A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which group of individuals is at a higher risk of complications from preanesthetic drugs? Select one:

Correct Answer is B

Explanation

A nurse is reinforcing teaching to a patient undergoing a biopsy for a possible cancer diagnosis. The patient asks, "Why do I need this test?" What is the best response by the nurse?

Correct Answer is A

Explanation

A patient with hypotension has an order for 500 mL of plasma protein fraction to be infused over 2 hours. How many milliliters per hour should the IV pump be programmed for?

Medications classified as proton pump inhibitors include: (select all that apply (Select one or more)

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A patient is receiving total parenteral nutrition and has been NPO postoperatively. The physician ordered small amounts of clear liquids today. The nurse's priority is to ensure which criterion is addressed before giving the patient anything by mouth? Select one:

A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse? Select one:

Which factors make diabetic patients prone to infection? (SATA) Select one or more:

A postoperative patient reports dizziness when sitting up. The patient's blood pressure is 88/58 mmHg, heart rate is 112 bpm, and respiratory rate is 18 breaths per minute. What is the nurse's priority action? Select one:

A home health client with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which priority nursing intervention should the nurse include in the plan of care? Select one:

A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse?
Select one: