The nurse is taking a medication history for a patient with liver disease. Which medication would be of most concern to the nurse?

Famotidine

Levothyroxine

Furosemide

Acetaminophen

Answer and Explanation

The Correct Answer is D

Choice A rationale
Famotidine is a histamine-2 blocker used to decrease the amount of acid the stomach produces. It is not typically associated with liver disease.
Choice B rationale
Levothyroxine is a thyroid hormone used to treat hypothyroidism. It is not typically associated with liver disease.
Choice C rationale
Furosemide is a diuretic used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. It is not typically associated with liver disease.
Choice D rationale
Acetaminophen is a common over-the-counter medication used to relieve pain and reduce fever. However, high doses or long-term use of acetaminophen can cause liver damage.

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Correct Answer is A

Explanation

Choice A rationale
Limiting the intake of fluids during meals can help prevent dumping syndrome after a gastrectomy. Drinking fluids during meals can speed up gastric emptying, leading to a rapid release of glucose into the bloodstream and causing symptoms of dumping syndrome.
Therefore, it’s recommended to drink fluids between meals rather than with meals.
Choice B rationale
Maintaining a high Fowler’s position during meals is not typically recommended to prevent dumping syndrome. This position does not have a significant impact on the speed of gastric emptying.
Choice C rationale

Urinating after a meal does not help prevent dumping syndrome. Dumping syndrome is related to the speed of gastric emptying, not urinary habits.
Choice D rationale
Consuming high-carbohydrate foods can actually exacerbate dumping syndrome. High- carbohydrate foods can cause a rapid increase in blood glucose levels, followed by a rapid drop, leading to symptoms of dumping syndrome.

A. Sore throat B. Abdominal bloating C. Gag reflex D. Belching

Correct Answer is C

Explanation

Choice A rationale
While a sore throat can be a side effect of an upper endoscopy, it is not the priority for monitoring after the procedure.
Choice B rationale
Abdominal bloating can occur after an upper endoscopy, but it is not the priority for monitoring.
Choice C rationale
Monitoring the return of the gag reflex is a priority after an upper endoscopy. The gag reflex may be impaired due to the use of local anesthetics during the procedure. An impaired gag reflex increases the risk of aspiration.
Choice D rationale
Belching can occur after an upper endoscopy, but it is not the priority for monitoring

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The nurse is taking a medication history for a patient with liver disease. Which medication would be of most concern to the nurse?

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Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

Correct Answer is C

Explanation

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