Adult Health 1 Exam 2

A patient experiences thrombocytopenia. The nurse should monitor the patient for which major complication? 1. Fatigue 2. Weakness 3. Hemorrhage 4. Abdominal pain

3. Hemorrhage The major complication of thrombocytopenia is hemorrhage. This occurs due to a decreased number of platelets in blood, which results in excessive bleeding. Fatigue, weakness, and abdominal pain are minor complications of thrombocytopenia.

The nurse instructs the patient is scheduled to have a radioactive iodine uptake test to: 1. watch for any signs of bleeding or swelling from the biopsy site. 2. avoid contact with others until notified otherwise. 3. wash hands with soap and water after each urination for 24 hours after the test. 4. this test demonstrates the effectiveness of the pituitary gland on the thyroid gland.

3. wash hands with soap and water after each urination for 24 hours after the test.

During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? 1. "The head of your bed must remain flat for 24 hours after surgery." 2. "You should avoid deep breathing and coughing after surgery." 3. "You won't be able to swallow for the first day or two." 4. "You must avoid hyperextending your neck after surgery."

4. To prevent undue pressure on the surgical incision after subtotal thyroidectomy, the nurse should advise the client to avoid hyperextending the neck. The client may elevate the head of the bed as desired and should perform deep breathing and coughing to help prevent pneumonia. Subtotal thyroidectomy doesn't affect swallowing.

What are pertinent labs to draw before a paracentesis?

- Serum albumin - Protein - Glucose - Amylase - BUN - Creatinine

A client with hyperthyroidism has been given methimazole. Which nursing considerations are appropriate with this medication? Select all that apply. 1. Admin methimazole with food. 2. Place the client on a low-cal, low protein diet. 3. Assess client for unexplained bruising or bleeding. 4. Instruct client to report side effect such as sore throat, fever, or headaches. 5. Use special radioactive precautions when handling the client's urine for the first 24 hours following the initial assessment.

1, 3, 4

Which important instruction concerning the administration of levothyroxine (Synthroid) should the nurse teach a client? 1. "Take the drug on an empty stomach." 2. "Take the drug with meals." 3. "Take the drug in the evening." 4. "Take the drug whenever convenient."

1. "Take the drug on an empty stomach."

A client has a bone marrow biopsy done. Which nursing intervention is the priority post procedure? 1. Applying pressure to the biopsy site 2. Inspecting the site for ecchymoses 3. Sending the biopsy specimens to the laboratory 4. Teaching the client about avoiding vigorous activity

1. Applying pressure to the biopsy site. The initial action should be to stop bleeding by applying pressure to the site. Inspecting for ecchymoses will be done after hemostasis has been achieved. Sending specimens to the laboratory will be done after hemostasis has been achieved. Teaching the client about activity levels will be done after hemostasis has been achieved.

You're caring for Jane, a 57 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Before her paracentesis, you instruct her to: 1 Empty her bladder. 2 Lie supine in bed. 3 Remain NPO for 4 hours. 4 Clean her bowels with an enema

1. Empty her bladder

The nurse is teaching a group of parents whose children have sickle cell anemia. When a parent asks the cause of the symptoms, the nurse responds with which of the following? 1."Sickled cells clump in the smaller blood vessels and obstruct blood flow." 2."Sickled cells cause bone marrow depression." 3."The sickled cells mix with normal cells, which causes the immune system to be depressed." 4."Sickled cells increase the blood flow through the body, which causes pain."

1."Sickled cells clump in the smaller blood vessels and obstruct blood flow." Rationale: All the symptoms of sickle cell are a result of the clumping of the sickled cells in the microvasculature, causing obstruction of blood flow. The other statements are inaccurate.

A nurse is teaching a client about what to expect during a bone marrow biopsy. Which statement by the nurse accurately describes the procedure? 1. "The doctor will place a small needle in your back and will withdraw some fluid." 2. "You may experience a crunching sound or a scraping sensation as the needle punctures your bone." 3. "You will be alone because the procedure is a sterile one; we cannot allow additional people to contaminate the area." 4. "You will be sedated, so you will not be aware of anything."

2. "You may experience a crunching sound or a scraping sensation as the needle punctures your bone." Proper expectations minimize the client's fear during the procedure. A very large-bore needle is used for a bone marrow biopsy, not a small needle. The puncture is made in the hip or in the sternum, not the back. The nurse, or sometimes a family member, is available to the client for support during a bone marrow biopsy. The procedure is sterile at the site of the biopsy, but others can be present without contamination at the site. A local anesthetic agent is injected into the skin around the site. The client may also receive a mild tranquilizer or a rapid-acting sedative (such as lorazepam [Ativan]) but will not be completely sedated. Clients are aware of what is happening during the procedure.

A client with a history of type 2 diabetes is admitted to the hospital with chest pain. The client is scheduled for a cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and 48 hours after the procedure? 1. Glipizide 2. Metformin 3. Repaglinide 4. Regular insulin

2. Metformin. Metformin needs to be withheld 24 hours before and for 48 hours after cardiac catheterization because of the injection of contrast medium during the procedure. If the contrast medium affects kidney function, with metformin in the system the client would be at increased risk for lactic acidosis. The medications in the remaining options do not need to be withheld before and after cardiac catheterization.

Which medication blocks synthesis of thyroid hormone? 1. Dexamethasone 2. Methimazole 3. Potassium iodide 4. Sodium iodide

2. Methimazole

The nurse provides education regarding daily activities to a patient with thrombocytopenia. Which patient activity indicates understanding of the teaching? 1. Flossing using thick tape floss 2. Shaving using an electric razor 3. Wearing flip flops to go walking 4. Brushing using a stiff-bristle toothbrush

2. Shaving using an electric razor. A patient with thrombocytopenia has a decreased number of platelets, and therefore prolonged bleeding will be observed even for minor injuries. Shaving using an electric razor blade decreases the risk of cuts and wounds resulting in decreased bleeding. Therefore this activity of the patient indicates understanding of the nurse's teaching. Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds and increased bleeding. Flossing using a thick tape floss is not safe and can cause an increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the gums and is not safe; therefore the nurse needs to perform more patient teaching.

The nurse is assessing a client with hyperthyroidism. What findings should the nurse expect? 1. Weight gain, constipation, and lethargy 2. Weight loss, nervousness, and tachycardia 3. Exophthalmos, diarrhea, and cold intolerance 4. Diaphoresis, fever, and decreased sweating

2. Weight loss, nervousness, and tachycardia

The nurse is instructing the client with hypothyroidism who takes levothyroxine 100 mco digoxin, and simvastatin. Teaching regarding the use of these medications is effective if the client will take: 1. the levothyroxine with breakfast and the other medications after breakfast. 2. the levothyroxine before breakfast and the other medications 4 hours later 3. all medications together 1 hour after eating breakfast. 4. all medications before going to bed.

2. the levothyroxine before breakfast and the other medications 4 hours later

A patient is newly diagnosed with type 1 diabetes and reports a headache, changes in vision, and being anxious but does not have a portable glucose monitor present. Which action should the nurse advise the patient to take? 1. Eat a piece of pizza 2. Drink some diet pop 3. Eat 15 g of simple carbohydrates 4. Take an extra dose of rapid acting insulin

3. Eat 15 g of simple carbohydrates

A clinic nurse is discharging a 20-year-old client who had a bone marrow aspiration performed. What does the nurse advise the client to do? 1. "Avoid contact sports or activity that may traumatize the site for 24 hours." 2. "Inspect the site for bleeding every 4 to 6 hours." 3. "Place an ice pack over the site to reduce the bruising." 4. "Take a mild analgesic, such as 2 aspirin, for pain or discomfort at the site."

3. "Place an ice pack over the site to reduce the bruising." Contact sports and traumatic activity needs to be excluded for 48 hours, or 2 days. The site should be carefully monitored by the client every 2 hours for the first 24 hours following the procedure.A mild analgesic is appropriate, but it should be aspirin free. Acetaminophen (Tylenol) would be a good choice.

A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease? 1. BUN level of 12 mg/dl 2. Blood glucose level of 90 mg/dl 3. Serum sodium level of 134 mEq/L 4. Serum potassium level of 5.8 mEq/L

4. Serum potassium level of 5.8 mEq/L. Addison's disease decreases the production of aldosterone, cortisol, and androgen, causing urinary sodium and fluid losses, an increased serum potassium level, and hypoglycemia. Therefore, an elevated serum potassium level of 5.8 mEq/L best supports a diagnosis of Addison's disease. A BUN level of 12 mg/dl and a blood glucose level of 90 mg/dl are within normal limits. In a client with Addison's disease, the serum sodium level would be much lower than 134 mEq/L, a nearly normal level.

A client is scheduled for a bone marrow aspiration. What does the client's nurse do before taking the client to the treatment room for the biopsy? 1. Cleans the biopsy site with an antiseptic or povidone-iodine (Betadine) 2. Holds the client's hand and asks about concerns 3. Reviews the client's platelet (thrombocyte) count 4. Verifies that the client has given informed consent

4. Verifying informed consent. Must be done before the procedure can be performed. A signed permit must be on the client's chart. Cleaning the biopsy site is done before the procedure but is not the first thing that should be done. It is not done until consent is verified. It will be done just before the procedure is performed.

A patient has developed hepatic encephalopathy secondary to cirrhosis and is receiving care on the medical unit. The patient's current medication regimen includes lactulose (Cephulac) four times daily. What desired outcome should the nurse relate to this pharmacologic intervention? A) Two to 3 soft bowel movements daily B) Significant increase in appetite and food intake C) Absence of nausea and vomiting D) Absence of blood or mucus in stool

A) Two to 3 soft bowel movements daily. Lactulose (Cephulac) is administered to reduce serum ammonia levels. Two or three soft stools per day are desirable; this indicates that lactulose is performing as intended. Lactulose does not address the patient's appetite, symptoms of nausea and vomiting, or the development of blood and mucus in the stool.

The patient with cirrhosis is being taught self-care. Which statement indicates the patient needs more teaching? A. "If I notice a fast heart rate or irregular beats, this is normal for cirrhosis." B. "I need to take good care of my belly and ankle skin where it is swollen." C."A scrotal support may be more comfortable when I have scrotal edema." D."I can use pillows to support my head to help me breathe when I am in bed."

A. "If I notice a fast heart rate or irregular beats, this is normal for cirrhosis." If the patient with cirrhosis experiences a fast or irregular heart rate, it may be indicative of hypokalemia and should be reported to the health care provider because this is not normal for cirrhosis. Edematous tissue is subject to breakdown and needs meticulous skin care. Pillows and a semi-Fowler's or Fowler's position increase respiratory efficiency. A scrotal support may improve comfort if there is scrotal edema.

The nurse is preparing a patient for a thyroid scan with radioactive iodine (RAI). The patient asks the nurse what is the purpose of this test. Which would be the best explanation for the nurse to provide the patient?" A. "This test verifies the size and function of the thyroid gland." "B. This test will help determine the correct dosage of medication to prescribe." C. "This test will determine the presence of Graves disease." D. "This test will assess for pituitary dysfunction causing thyroid suppression."

A. "This test verifies the size and function of the thyroid gland."

A client diagnosed with diabetes mellitus receives 8 units of regular insulin subcutaneously at 7:30 am. The nurse should be most alert to signs of hypoglycemia at what time during the day? A. 9:30 am to 11:30 am B. 11:30 am to 1:30 pm C. 1:30 pm to 3:30 pm D. 3:30 pm to 5:30 pm

A. 9:30 am to 11:30 am. Regular insulin is a short-acting insulin. Its onset of action occurs in a half hour and peaks in 2 to 4 hours. Its duration of action is 4 to 6 hours. A hypoglycemic reaction will most likely occur at peak time, which in this situation is between 9:30 am and 11:30 am.

The nurse hears a parent say to a child, "If you behave, we'll stop and get you an ice cream cone when we're done here." What should the nurse realize is occurring with the parent? A. rewarding behavior with food B. frustration with the child's behavior C. anxiety due to parenting D. hunger as a motivating factor

A. rewarding behavior with food

A patient with liver cancer is undergoing radiation therapy. The patient asks the nurse if the radiation therapy is going to cure the cancer. What is the best answer the nurse could give? A) "The radiation therapy will hopefully prolong your life, but the major effect is palliative." B) "The radiation therapy is going to give you a second chance at life." C) "The radiation therapy will cure your cancer." D) "The radiation therapy will take away your pain and discomfort."

ANS: A Radiation therapy and chemotherapy have been used to treat cancer of the liver with varying degrees of success. Although these therapies may prolong survival and improve quality of life by reducing pain and discomfort, their major effect is palliative. The only complete answer is option

The nurse corrects the nursing student when caring for a client with neutropenia secondary to chemotherapy in which circumstance? A. The student scrubs the hub of IV tubing before administering an antibiotic. B. The nurse overhears the student explaining to the client the importance of handwashing. C. The student teaches the client that symptoms of neutropenia include fatigue and weakness. D. The nurse observes the student providing oral hygiene and perineal care.

ANS: C Symptoms of neutropenia include low neutrophil count, fever, and signs and symptoms of infection; the student should be corrected. Asepsis with IV lines is an appropriate action. Handwashing is an essential component of client care, especially when the client is at risk for neutropenia. Hygiene and perineal care help prevent infection and sepsis.

A client is on chemotherapy and has a platelet count of 25,000. Which intervention is most important to teach this client? a."Eat a low-bacteria diet." b."Take your temperature daily." c."Use a soft-bristled toothbrush."

ANS: C This client has thrombocytopenia, which is a common side effect of chemotherapy. This increases the client's risk for prolonged bleeding in response to even minor injury, especially from highly vascular areas such as the gums. The client should be taught to use a soft toothbrush. A low-bacteria diet and daily temperature monitoring would be used in a client who is neutropenic.

The nurse is aware of potential complications related to cirrhosis. Which interventions would be included in a safe plan of care (select all that apply.)?Select all that apply A. Provide a high-protein, low-carbohydrate diet. B. Teach the patient to use soft-bristle toothbrush and electric razor. C. Teach the patient to avoid vigorous blowing of nose and coughing. D. Apply gentle pressure for the shortest possible time after venipuncture. E. Use the smallest gauge needle possible when giving injections or drawing blood. F. Instruct the patient to avoid aspirin and nonsteroidal anti-inflammatory (NSAIDs).

B, C, E, F

A client received a dose of regular insulin (Humulin R) this morning at 7:00 a.m. At what approximate time would the nurse likely anticipate the potential for a hypoglycemic reaction to occur? A. 8:00 a.m. B. 10:00 a.m. C. 12:00 p.m. D. 2:00 p.m.

B. 10:00 a.m. Humulin R is a rapid-acting insulin with a peak action of 2 to 4 hours after injection. Hypoglycemic reactions are most likely to occur during the peak action of insulin, which would be between 10:00 am and 12:00 noon in this situation. This makes 10:00 a.m. the correct option.

A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? A. Taking hourly blood pressures with mechanical cuff B. Encouraging fluid intake of at least 200mL per hour C. Position in high Fowler's with knee gatch raised D. Administering Tylenol as ordered

B. Encouraging fluid intake of at least 200mL per hour

Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours?A. Insulin glulisine B. Insulin glargine C. Regular insulin D. NPH insulin

B. Insulin glargine

The nurse would suspect a patient is taking too much levothyroxine (Synthroid) when the patient exhibits which adverse effect? A. Lethargy B. Irritability C. Feeling cold D. Weight gain

B. Irritability

Regular insulin is prescribed for a child diagnosed with type 1 diabetes mellitus. The nurse is planning a teaching session with the child and mother about the onset, peak, and duration times of the insulin. Which information should the nurse provide about this type of insulin? A. Onset of 1 hour from injection time, peak of 30 to 90 minutes later, and duration time of 5 hours B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4 to 8 hours C. Onset of 2 to 6 hours from injection time, peak of 4 to 14 hours later, and duration time of 14 to 20 hours D. Onset of 6 to 14 hours from injection time, peak of 10 to 16 hours later, and duration time of 20 to 24 hours

B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4 to 8 hours. Regular insulin has an onset of action of 30 minutes from injection time, peak action of 2 to 4 hours later, and a duration time of 4 to 8 hours. Therefore, the remaining options are incorrect.

A 58 yr old woman with type 2 diabetes mellitus takes glyburide 5 mg by mouth daily, and this drug controls her diabetes well. However, recently, her fasting blood glucose has measured between 200-220 mg/dL. Which of the following medications may have been added to the patient's regimen? A. Atenolol B. Prednisone C. Enalapril maleate D. Levothyroxine sodium

B. Prednisone Prednisone can decrease the effect of oral hypoglycemic medications, insulin, diuretics, and potassium supplements.

Assuming the patient eats breakfast at 8:30 AM, lunch at noon, and dinner at 6:00 PM, he or she is at highest risk of hypoglycemia following an 8:00 AM dose of NPH insulin at A) 10:00 AM. B) 2:00 PM. C) 5:00 PM. D) 8:00 PM.

C. Breakfast eaten at 8:30 AM would cover the onset of NPH insulin, and lunch will cover the 2 PM time frame. However, if the patient does not eat a mid-afternoon snack, the NPH insulin may be peaking just before dinner without sufficient glucose on hand to prevent hypoglycemia.

The nurse provides discharge instructions for a 64-yr-old woman with ascites and peripheral edema related to cirrhosis. Which patient statement indicates teaching was effective? A. "Lactulose should be taken every day to prevent constipation." B. "It is safe to take acetaminophen up to four times a day for pain." C. "Herbs and other spices should be used to season my foods instead of salt." D. "I will eat foods high in potassium while taking spironolactone (Aldactone)."

C. "Herbs and other spices should be used to season my foods instead of salt."

The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in approximately how many hours following administration? A. 1 hour B. 2 to 3 hours C. 8 to 12 hours D. 16 to 24 hours

C. 8 to 12 hours. other options give either times that are too long or too short

A 69-year-old woman has been taking metformin for the treatment of type 2 diabetes for several years. Which of the following changes in the woman's laboratory values may demonstrate a need to discontinue the medication? A. A decrease in hemoglobin and hematocrit B. An increase in white blood cells C. A decrease in glomerular filtration rate D. A decrease in potassium accompanied by an increase in sodium

C. A decrease in glomerular filtration rate. It is essential to discontinue metformin if renal impairment occurs. The other listed changes in laboratory values do not necessarily indicate that metformin should be discontinued.

To treat a cirrhosis patient with hepatic encephalopathy, lactulose, rifaximin (Xifanan), and a proton pump inhibitor are ordered. The patient's family wants to know why the laxative in ordered. What is the best explanation the nurse can give to the patient's family? A. It reduces portal venous pressure B. It eliminates blood from the GI tract C. It traps ammonia and eliminates it in the feces D. It decreases bacteria to decrease ammonia formation

C. It traps ammonia and eliminates it in the feces

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?A. Increases insulin production from the pancreas. B. Slows the absorption of carbohydrate in the small intestine. C. Reduces glucose production by the liver and enhances insulin sensitivity. D. Increases insulin release from the pancreas, inhibits glucagon secretion, and decreases gastric emptying.

C. Reduces glucose production by the liver and enhances insulin sensitivity. Metformin is a biguanide that reduces glucose production by the liver and enhances the tissue's insulin sensitivity. Sulfonylureas and meglitinides increase insulin production from the pancreas. α-glucosidase inhibitors slow the absorption of carbohydrate in the intestine. Glucagon-like peptide receptor agonists increase insulin synthesis and release from the pancreas, inhibit glucagon secretion, and decrease gastric emptying.

A patient with type 2 diabetes is scheduled to have a cardiac catheterization in 1 week, and the nurse makes a pre-procedure phone call. The nurse instructs the patient to stop taking which medication 2 days before procedure? A. Sitagliption B. Insulin C. Glyburide D. Metformin

D. Because a heart catheterization procedure uses contrast media, which places a stress on the kidneys, metformin, which is also excreted in the kidneys unchanged, should be stopped 48 hours prior to the procedure to prevent lactic acidosis.

Which statement by the patient indicates an understanding of discharge instructions given by the nurse about the newly prescribed medication levothyroxine (Synthroid)? A. "I will take a double dose to make up for the missed one." B. "I can expect improvement of my symptoms within 1 week." C. "I will stop the medication immediately if I feel pain or weakness in my muscles." D. "I will take this medication in the morning so it does not affect my sleep at night."

D. "I will take this medication in the morning so it does not affect my sleep at night."

The client receiving filgrastim (Neupogen) should be monitored for common adverse effects, which include: A. Hypotension and hypoglycemia. B. Elevated liver enzymes. C. Elevated BUN and creatinine. D. Hypertension and skeletal pain

D. Hypertension and skeletal pain The nurse should assess for both hypertension and skeletal pain, which are adverse effects of filgrastim therapy.

The nurse is preparing a patient for a computed tomography scan using iodine contrast media. Which medication should the nurse question if prescribed one day before the scheduled procedure?A. Pioglitazone B. Acarbose C. Repaglinide D. Metformin

D. Metformin

The nurse administers filgrastim (Neupogen) to the client. The nurse explains that this drug is used in the treatment of: A. Clients with Hodgkin's disease who are having bone marrow transplants. B. Acute lymphoblastic leukemia. C. Hodgkin's lymphoma. D. Neutropenia, or neutropenia secondary to chemotherapy.

D. Neutropenia, or neutropenia secondary to chemotherapy. Filgrastim is a colony-stimulating factor used primarily for chronic neutropenia, or neutropenia secondary to chemotherapy.

A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation the nurse should: A. Request that food be served with disposable utensils B. Ask the client to wear a mask when visitors are present C. Prep IV with mild soap, water, and alcohol D. Provide foods in seal single serving packages

D. Provide foods in seal single serving packages why?Because the client is immune-suppressed, foods should be served in sealed containers, to avoid food contaminants.

What is the definition of cellular regulation?

Refers to all functions carried out within a cell to maintain homeostasis, including its responses to extracellular signals (e.g., hormones, cytokines, and neurotransmitters) and the way it produces an intracellular response.

What is the definition of hormonal regulation?

The physiological mechanism that regulate the secretion and action of hormones associated with the endocrine system.

When preparing a patient for a paracentesis, what does the nurse do? Select all that apply. a. Ask the patient to void prior to the procedure. b. Place the patient in the supine position. c. Weigh the patient before the procedure. d. Obtain the patient's heart rate e. Assess the patient's respiratory rate. f. Obtain the patient's blood pressure.

a. Ask the patient to void prior to the procedure. c. Weigh the patient before the procedure. d. Obtains the patient's heart rate. e. Assess the patient's respiratory rate. f. Obtain the patient's blood pressure.

A home care nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. The nurse tells the mother to 1. administer the iron through a straw 2. administer iron at meal times 3. add the iron to the formula for easy administration 4. mix the iron with cereal to administer

answer: 1 Iron should be administered through the straw or with a medicine dropper placed at the back of the mouth because the iron will stain the teeth. the parent should be instructed to brush or wipe the teeth after administration. Iron is administered between meals because absorption is decreased if there is food in the stomach. Iron requires an acid environment to facilitate its absorption in duodenum. Iron is not added to formula or mixed with cereal or other food items.

The nurse provides discharge instructions to a patient with newly diagnosed cirrhosis. Which statement made by the patient indicates the need for further teaching? a. "I should take frequent rest periods." b. "I can eat anything that appeals to me." c. "I can do without my glass of wine with dinner." d. "I should take only medications that have been prescribed."

b. "I can eat anything that appeals to me." Even though a low-protein diet has been questioned in the treatment of patients with cirrhosis, it remains in use. In light of this, it is incorrect for the patient to say that he may eat anything. Patients with cirrhosis must also avoid alcohol. Frequent rest and limitation of medications to those that have been prescribed are appropriate resolutions in a newly diagnosed case of cirrhosis and therefore do not indicate the need for further teaching.

The nurse is teaching a patient with cirrhosis about nutrition therapy. Which statement by the patient indicates teaching has been effective? a. "I will only use table salt with my dinner meal." b. "I will read the sodium content labels on all food and beverages." c. "I will avoid the use of vinegar." d. "I will not take vitamin supplements."

b. "I will read the sodium content labels on all food and beverages."