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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: A 12-degree angle is too shallow, increasing the risk of incorrect placement and ineffective administration of the intradermal injection.

Choice B reason: The 15-degree angle ensures precise intradermal placement, forming a wheal that indicates proper administration into the dermis for optimal absorption.

Choice C reason: A 30-degree angle places the medication too deep into subcutaneous tissue, compromising intended drug absorption.

Choice D reason: A 45-degree angle results in subcutaneous rather than intradermal injection, altering the drug’s effectiveness and purpose.

A. Administer one-half tablet. B. Administer two tablets. C. Call the pharmacy to see if 40-mg tablets are available. D. Call the pharmacy for a new bottle of the medication.

Correct Answer is D

Explanation

Choice A reason: Half a tablet (10 mg) underdoses; expired drugs may degrade, and 40 mg is needed for diuresis, risking therapeutic failure in this scenario.

Choice B reason: Two tablets (40 mg) meet the dose but are expired; potency loss post-April 2013 risks inefficacy or toxicity, compromising patient safety.

Choice C reason: Seeking 40-mg tablets ignores expiration; even if available, current stock is outdated, and fresh supply is still required for reliable effect.

Choice D reason: Expired drugs (April 2013) lose potency; a new bottle ensures 40 mg of active furosemide, maintaining efficacy and safety for hypertension or edema.

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Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

Correct Answer is B

Explanation

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to:

Correct Answer is D

Explanation

What are the concepts considered to be rights of medication administration? (Select all that apply.)

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

The patient has Levaquin 500 mg ordered once daily. The Levaquin is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 60 gtt/mL drop factor, how many drops per minute should the Levaquin be infused?

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See the syringe diagram, what part is #7? (Assuming #7 refers to a common syringe part; no diagram provided, so standard parts assumed.)

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When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose: