Author Question: A patient who has been taking medication for a month for an atrial dysrhythmia returns to the clinic ... (Read 129 times)

littleanan · **on:** Jul 23, 2018

A patient who has been taking medication for a month for an atrial dysrhythmia returns to the clinic for a checkup. Which statements indicate the nurse should plan extra time with the patient for additional teaching?

1. Since I can't drink coffee anymore, I have started drinking diet cola in the mornings.
2. I have found that a glass of wine after work and one with dinner helps me to relax from my stressful job.
3. We have celebrated several birthdays since I saw you last. I love chocolate birthday cake.
4. I have really worked at stopping my smoking since I was last here.
5. My friends and I have found several restaurants in our area that offer good, low-fat meals.

Question 2

The nurse is managing care for a patient with cirrhosis of the liver. The nurse teaches the patient about how to avoid injury that may result in bleeding. The patient asks the nurse why he is at risk to start bleeding.

What is the best response by the nurse?
1. Because your liver is injured and unable to manufacture platelets.
2. Because your liver thickens your blood so it is less likely to clot.
3. Because your liver is injured and cannot make clotting factors.
4. Because your liver is breaking down your clotting factors too quickly.

ergserg · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Unless the diet cola is decaffeinated, it should also be avoided.
Rationale 2: Alcohol should be limited when taking medications for atrial arrhythmias.
Rationale 3: Chocolate contains caffeine, which should be avoided when taking medications for atrial arrhythmias.
Rationale 4: Smoking cessation should be encouraged in patients taking medications for atrial dysrhythmia.
Rationale 5: Lowered fat intake is encouraged in patients taking medications for atrial arrhythmias.

Answer to Question 2

Correct Answer: 3
Rationale: The liver is responsible for the production of essential clotting factors necessary to prevent bleeding. The liver is not responsible for breaking down clotting factors. The liver is not responsible for making the blood thick. The liver is not responsible for manufacturing platelets.