A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?

Limit consumption of green, leafy vegetables.

Perform passive range of motion exercises.

Avoid lifting heavy objects.

Take midodrine as prescribed.

Answer and Explanation

The Correct Answer is C

Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Congestive heart failure can occur in chronic renal failure due to fluid overload and the inability of the kidneys to manage fluid balance.
Choice B reason: Metabolic alkalosis is not typically a major complication of chronic renal failure; metabolic acidosis is more common due to the accumulation of acids in the body.
Choice C reason: Excessive excretion of blood urea nitrogen is not a complication; rather, in renal failure, the kidneys cannot excrete urea nitrogen effectively.
Choice D reason: Hypokalemia (low potassium) can occur, but it is not as major a complication as congestive heart failure in the context of chronic renal failure.

A. A 5-year-old who is unable to zip his own jacket. B. A 2-year-old who cannot recite her phone number. C. A 6-year-old who is unable to sit still for a short story. D. A 2-year-old who is unable to cut with scissors. E. An 18-month-old toddler who is unable to phrase sentences.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.

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A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?

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Naxlex Comprehensive Predictor Exams

Which of the following is a major complication in a child with chronic renal failure?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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