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raj13595 raj13595
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6 years ago
A patient is admitted to your unit with hepatomegaly secondary to hepatitis. When conducting patient education, the nurse should counsel the patient to
 
  a. avoid alcohol and acetaminophen.
  b. have monthly liver enzymes drawn.
  c. measure the abdominal girth to monitor liver enlargement and report findings to the prescriber.
  d. discontinue use of all drugs metabolized in the liver.
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wrote...
6 years ago
A
Acetaminophen (Tylenol) and alcohol are contraindicated in a patient with liver problems, be-cause both increase the risk for hepatotoxicity.
Having liver enzymes drawn monthly is too frequent; they usually are drawn every 3 months. Although important, they are not the most important piece of information to teach related to the daily activities of the patient.
Measurement of the abdominal girth to monitor for liver enlargement is a nursing intervention, not a patient intervention.
Discontinuation of all drugs metabolized in the liver is not feasible, because most are metabolized by the liver.
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