Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

dark coloured urine

dark coloured stool

jaundice

pruritis

ascites

Answer and Explanation

The Correct Answer is B

A. Dark colored urine: Dark urine can be a sign of bilirubin buildup in the body due to liver dysfunction, commonly seen in cirrhosis.

B. Dark colored stool: This is not typically associated with cirrhosis. Dark stools can indicate gastrointestinal bleeding, but in cirrhosis, stools are more likely to be pale or clay-colored due to a lack of bile.

C. Jaundice: Jaundice occurs due to the liver's inability to process bilirubin, leading to yellowing of the skin and eyes.

D. Pruritus: Pruritus, or itching, is common in cirrhosis due to bile salt deposition in the skin.

E. Ascites: Ascites, the accumulation of fluid in the abdomen, is a common complication of cirrhosis due to portal hypertension and low albumin levels.

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Correct Answer is ["15.94"]

Explanation

Convert the ordered dose to mcg/min:

10 mcg/kg/min × 85 kg = 850 mcg/min

Convert the available dose to mcg/mL:

800 mg = 800,000 mcg in 250 mL

Concentration = 800,000 mcg ÷ 250 mL

= 3200 mcg/mL

Calculate the infusion rate:

Infusion rate (mL/hour) = [Desireddose(mcg/min) ÷Concentration(mcg/mL)] ×60 min/hour

Infusion rate = (850 mcg/min ÷ 3200 mcg/mL) × 60 min/hour

= 15.94 mL/hour

The IV pump should be set to infuse at approximately 15.94 mL/hour to deliver the ordered dose of dopamine at 10 mcg/kg/min for a patient weighing 85 kg. This ensures the appropriate therapeutic effect.

A. instruct the patient to lie on the Left side B. assess the patient's vital signs C. assess the dressing over the puncture site D. assess for signs/symptoms of a pneumothorax

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

Explanation

A. Instruct the patient to lie on the Left side: The patient should lie on their right side (the biopsy side) to apply pressure and prevent bleeding.

B. Assess the patient's vital signs: Monitoring vital signs is crucial to detect signs of bleeding, hypovolemia, or shock.

C. Assess the dressing over the puncture site: Checking for bleeding or hematoma formation at the puncture site is important to detect complications.

D. Assess for signs/symptoms of a pneumothorax: A pneumothorax is a possible complication of liver biopsy, especially if the biopsy needle punctures the lung.

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Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

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Naxlex Comprehensive Predictor Exams

The physician orders dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800mg in 250 ml of D5W. What is the hourly IV pump rate? The patient weighs 85 kilograms. Order: Dopamine at 10 mcg/kg/min Available: Dopamine 800 mg in 250 mL D5W Patient weight: 85 kg

Correct Answer is ["15.94"]

Explanation

A patient has just undergone a percutaneous liver biopsy. Which of the following are included in the post-procedure assessment? (select all that apply)

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

Explanation

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