Author Question: A nurse is obtaining an admission history on a patient who reports daily drinking for several years. ... (Read 37 times)

stevenposner · **on:** Jul 23, 2018

A nurse is obtaining an admission history on a patient who reports daily drinking for several years. When the nurse questions the patient further, the patient reports drinking up to five or six drinks each day.

The patient expresses worry about liver damage. What will the nurse do? a. Contact the patient's provider to request liver function studies.
b. Explain that hepatitis, progressing to se-vere liver impairment, is likely.
c. Inform the patient that the history indi-cates that cirrhosis is likely to occur.
d. Tell the patient that stopping drinking will reverse any effects on the liver.

Question 2

A patient with stable COPD is prescribed a bronchodilator medication. Which type of broncho-dilator is preferred for this patient?

a. A long-acting inhaled beta2 agonist
b. An oral beta2 agonist
c. A short-acting beta2 agonist
d. An intravenous methylxanthine

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

Answer to Question 1

A
Chronic drinking can lead to hepatitis in about 90 of heavy users. The nurse would be correct to request laboratory studies of liver function. Until the laboratory values are known, the degree of damage to the liver is unknown, so the likelihood of severe outcomes cannot be predicted. Acute drinking causes the accumulation of fat and protein in the liver, which is reversible, but this may not be the case with chronic drinking.

Answer to Question 2

A
LABAs are preferred over SABAs for COPD. Oral beta2 agonists are not first-line therapy. Al-though theophylline, a methylxanthine, was once standard therapy in COPD, it is no longer rec-ommended. It is used only if beta2 agonists are not available.