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 A

Explanation

A. Insulin can be added to the TPN to control blood sugar levels. TPN often leads to hyperglycemia, and insulin is commonly added to the solution to regulate glucose levels.
B. Discontinuing the infusion would not address the hyperglycemia and would risk nutrient deficiencies.
C. Weaning from TPN may be indicated when discontinuing the nutrition support, but it is not a direct intervention for hyperglycemia.
D. Starting an infusion of 0.9% normal saline would not address the hyperglycemia directly and may not be effective in managing the glucose levels.

A. Diaphoresis B. Edema C. Muscle atrophy D. Impaired wound healing E. Nail growth

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.

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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

A patient is admitted with severe malnutrition. A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN) is started. What medical interventions may be initiated with the onset of hyperglycemia?

Correct Answer is A

Explanation

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

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