The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

500 mg

Answer and Explanation

The Correct Answer is A

A. 2g is correct because for patients with liver dysfunction, the maximum recommended dose of acetaminophen is reduced to 2 grams per day to prevent hepatotoxicity.
B. 500 mg is incorrect because while lower doses may be given at a time, the total daily limit for liver-compromised patients is higher than 500 mg.
C. 4g is incorrect as this is the maximum dose for healthy adults with normal liver function, but it is too high for those with liver disease.
D. 1g is incorrect because while it is a single-dose limit, the daily maximum for patients with liver dysfunction is 2g, not 1g.

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Correct Answer is ["B","C","D"]

Explanation

A. Diaphoresis (excessive sweating) is not typically associated with nutritional alterations but may occur with other conditions like fever or anxiety.
B. Edema can be a sign of protein deficiency or fluid imbalance, indicating a nutritional problem.
C. Muscle atrophy suggests a lack of sufficient protein or calories, a clear sign of malnutrition.
D. Impaired wound healing is often linked to nutritional deficiencies, particularly in vitamins and minerals like vitamin C and zinc.
E. Nail growth is generally not used to assess nutritional status. Although poor nutrition can impact hair and nails, changes in nail growth are not as immediately indicative of nutritional problems.

A. Remove tight clothing. B. Administer acetaminophen. C. Give salt tablets. D. Place in cool water. E. Initiate intravenous (IV) fluids.

Correct Answer is ["A","D","E"]

Explanation

A. Removing tight clothing is correct because it allows for better heat dissipation and helps cool the patient.
B. Administering acetaminophen is incorrect as acetaminophen reduces fever from infection, not from heat stroke, which requires active cooling measures.
C. Giving salt tablets is incorrect as rapid sodium replacement can cause dangerous fluid shifts; IV fluids are preferred for controlled electrolyte correction.
D. Placing in cool water is correct because immersion cooling is one of the most effective methods to lower body temperature in heat stroke.
E. Initiating IV fluids is correct as the patient likely has dehydration and electrolyte imbalances, requiring fluid resuscitation with isotonic fluids.

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The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which signs would alert the nurse to possible nutritional alterations? (Select all that apply, one, some, or all.)

Correct Answer is ["B","C","D"]

Explanation

Which action would the nurse take if the patient brought to the emergency after hiking in the desert for 2 hours is confused, reports hallucinations, and has a temperature of 104.2°F (40.1°C), dark amber urine, and a serum sodium of 128 mEq/L? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

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