Question 1
What should the nurse expect to assess in a patient with acute liver failure? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Jaundice
◦ Asterixis
◦ Sudden severe nose bleed
◦ Peripheral edema
◦ Ascites
Question 2
A patient with a history of taking acetaminophen (Tylenol) for osteoarthritis pain is surprised to learn the diagnosis of liver failure. What should the nurse explain to the patient about this diagnosis? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ "Liver damage from acetaminophen can occur from taking as little as 4 grams of the medication a day."
◦ "If your body cannot remove the toxins from acetaminophen, liver damage occurs."
◦ "Liver damage can occur when the maximum daily dose of acetaminophen is taken repeatedly."
◦ "Liver damage from acetaminophen only occurs when it is taken with alcoholic beverages."
◦ "Liver damage from acetaminophen only occurs when taking 10 grams or more of the medication per dose."
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Patient teaching: nail assessment
Nursing history for rectal and anal assessment
Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient.
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient.