Practice Question
A patient with cirrhosis has asterixis and fetor hepaticus and is confused. The patient has all of these medications ordered. Which medication would be most appropriate to be given now?
Answer Choices:
Correct Answer:
Rifaximin (Xifaxan)
Rationale:
🔷 Asterixis & fetor hepaticus: Indicate hepatic encephalopathy from ammonia buildup.
🔷 Rifaximin: A non-absorbable antibiotic that reduces ammonia-producing gut bacteria.
🔷 Mechanism: Decreases bacterial load, improving mental status and confusion.
🔷 Propranolol: Used for variceal bleeding prevention, not encephalopathy.
🔷 Supportive care: Include lactulose therapy and low-protein diet to manage ammonia levels.
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This question is from VNSG202 Med-Surg 1 Summer 2025 (NS) Final Exam which contains 100 questions.
More Questions from This Exam
Which interventions should the nurse implement for a patient with acute gastritis? Select all that apply.
Answer Choices:
A. Monitor the patient for bloody diarrhea.
B. Explain that aspirin frequently causes gastritis.
C. Administer sucralfate to control pain.
D. Encourage a regular diet during the acute phase of gastritis.
E. Administer antacids or H2-receptor antagonists.
Which of the following explanations by the nurse to reinforce the patient's preoperative education for a double-barrel colostomy would be correct?
Answer Choices:
A. "You will have stomas in the middle of your abdomen that will constantly drain liquid stool."
B. "You will have a looped bag system to collect stool from your stomas."
C. "You will have stomas on your abdomen, but stool will come out your rectum."
D. "You will have stomas on your abdomen that can be returned to your abdomen after your bowel has healed."
The nurse is reinforcing teaching about food choices to a patient with dumping syndrome. Which foods would the nurse instruct the patient to avoid?
Answer Choices:
A. Chicken and avocado salad
B. Coffee and glazed doughnut
C. Sausage and liver
D. Steak and brown rice
The nurse evaluates the patient as understanding the primary reason that food and fluids are held until the gag reflex returns after an esophagogastroduodenoscopy procedure if the patient states which of these?
Answer Choices:
A. "To rest the vocal cords."
B. "To prevent choking."
C. "To keep the throat dry."
D. "To prevent vomiting."
A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?
Answer Choices:
A. "Your airways are inflamed and spastic."
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From Exam
VNSG202 Med-Surg 1 Summer 2025 (NS) Final Exam
100 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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