Which risk is significantly increased in patients diagnosed with liver disease?

Systemic infection

Urinary infections

Drug allergy

Drug toxicity

Answer and Explanation

The Correct Answer is D

A. Systemic infection: While liver disease can compromise immunity, systemic infection is not the most significantly increased risk.

B. Urinary infections: Liver disease does not directly increase the risk of urinary infections.

C. Drug allergy: Liver disease does not specifically increase the incidence of drug allergies.

D. Drug toxicity: Liver disease impairs drug metabolism, particularly of medications metabolized by the liver. This increases the risk of drug toxicity.

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Correct Answer is D

Explanation

A. Mexiletine: Mexiletine is a class 1B antiarrhythmic used to treat ventricular arrhythmias, not gastric ulcers.

B. Desmopressin: Desmopressin is a synthetic vasopressin analogue used for conditions like diabetes insipidus, bleeding disorders, and nocturnal enuresis. It is not used to treat Helicobacter pylori infections.

C. Filgrastim: Filgrastim is used to stimulate white blood cell production and is not used in the treatment of H. pylori infections or gastric ulcers.

D. Clarithromycin: Clarithromycin is a commonly prescribed antibiotic as part of a combination therapy to treat H. pylori infections, which are a common cause of gastric ulcers.

A. Flush the tube. B. Roll the patient flat. C. Check for a residual formula and return the residual to his or her stomach. D. Place the end of the tube in water and check for bubbles.

Correct Answer is A

Explanation

A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.

B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.

C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.

D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.

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Which risk is significantly increased in patients diagnosed with liver disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

Correct Answer is D

Explanation

A nurse is preparing to give a tube feeding using a large syringe. What action should the nurse implement before starting the infusion?

Correct Answer is A

Explanation

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