Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?
Patient with a history of alcohol abuse and hepatitis C
Patient with COPD and a 20 pack-year history of smoking
Patient with type 2 diabetes and end-stage renal disease
Patient with prostate enlargement and urinary frequency
The Correct Answer is A
Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.
Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.
Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.
Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.
Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.
Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.
Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.
Correct Answer is B
Explanation
Choice A reason: Waiting delays care; illegible orders risk errors, and timely clarification ensures the patient receives accurate treatment without unnecessary postponement.
Choice B reason: Direct prescriber contact resolves ambiguity; it ensures the order’s intent, aligning with safety protocols to prevent misinterpretation or harm.
Choice C reason: Colleagues may guess incorrectly; peer opinion lacks authority, risking errors in dosage or drug, compromising patient safety over prescriber intent.
Choice D reason: Patient recall is unreliable; home meds may differ from admission orders, and this doesn’t clarify the prescriber’s handwritten instruction accurately.
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