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Author Question: Which laboratory test result would the nurse observe when a patient has hepatotoxicity? a. ... (Read 30 times)

CQXA

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on: Jul 24, 2018
Which laboratory test result would the nurse observe when a patient has hepatotoxicity?
 
  a. Decreased bilirubin
  b. Increased albumin
  c. Decreased alkaline phosphatase
  d. Increased alanine aminotransferase (ALT)

Question 2

The nurse is caring for a patient with a new prescription for donepezil (Aricept) for symptoms of mild dementia. Which symptom exhibited by the patient should the nurse report to the physician immediately?
 
  a. Bradycardia
  b. Vomiting
  c. Diarrhea
  d. Dyspepsia


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tashiedavis420

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Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: D
The symptoms of hepatotoxicity are anorexia, nausea, vomiting, jaundice, hepatomegaly, splenomegaly, and abnormal liver function test results (elevated bilirubin, aspartate aminotransferase AST, ALT, gamma-glutamyl transpeptidase GGT, alkaline phosphatase, prothrombin time). Bilirubin increases with hepatotoxicity. Albumin decreases with hepatotoxicity. Alkaline phosphatase increases with hepatotoxicity.

Answer to Question 2

ANS: A
Cholinergic agents cause a slowing of the heart. The health care provider should be notified if the heartbeat is regularly less than 60 beats/min. Vomiting, diarrhea, and dyspepsia are common adverse effects of donepezil (Aricept) and should subside after 2 to 3 weeks of therapy.


CQXA

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Reply 2 on: Jul 24, 2018
Excellent

gcook

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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