A nurse is doing an assessment data while completing an admission for a patient with a history of liver

Correct Answer: D

Rationale: Given the patient's history of liver transplant and current medications (prednisone and azathioprine), the nurse should pay close attention to an increased cholesterol level. Corticosteroids (such as prednisone) and immunosuppressants (such as azathioprine) can both contribute to dyslipidemia, leading to elevated cholesterol levels. Monitoring cholesterol levels is crucial in this patient population to assess cardiovascular risk and potentially adjust medications or lifestyle interventions accordingly. The other findings mentioned (soft non-tender lump in the shoulder, grade 1+ pitting edema in the feet, swollen and pinkish gums) may be important to note but do not directly relate to the patient's history of liver transplant and medication regimen.

Correct Answer: D

Rationale: Given the patient's history of liver transplant and current medications (prednisone and azathioprine), the nurse should pay close attention to an increased cholesterol level. Corticosteroids (such as prednisone) and immunosuppressants (such as azathioprine) can both contribute to dyslipidemia, leading to elevated cholesterol levels. Monitoring cholesterol levels is crucial in this patient population to assess cardiovascular risk and potentially adjust medications or lifestyle interventions accordingly. The other findings mentioned (soft non-tender lump in the shoulder, grade 1+ pitting edema in the feet, swollen and pinkish gums) may be important to note but do not directly relate to the patient's history of liver transplant and medication regimen.

Correct Answer: D

Rationale: After administering erythromycin ointment to the eyes of the newborn, there is no need to flush the eyes. The ointment is meant to be left in the eyes to provide protection against eye infections that can be acquired during birth. Flushing the eyes after instilling the ointment may reduce its effectiveness and is not part of the standard procedure. The ointment should be applied directly to the conjunctival sacs without rinsing or flushing the eyes.

Correct Answer: C

Rationale: Levothyroxine replaces thyroid hormone, requiring optimal absorption for efficacy. Taking it on an empty stomach in the morning avoids interference from food (e.g., calcium, iron), which reduces uptake, ensuring consistent T4 levels. With breakfast or dinner , absorption drops due to dietary interactions, risking subtherapeutic effects. At bedtime is viable but less ideal if food was recent, and morning aligns with circadian thyroid function. This timing leverages levothyroxine's pharmacokinetics'long half-life but sensitivity to gut contents'maximizing bioavailability. Instructing this prevents treatment failure in hypothyroidism, where precise dosing matters, making C the best time for administration and client education.

Correct Answer: A

Rationale: MAOIs (e.g., phenelzine) block tyramine breakdown, risking hypertensive crisis with foods like cheese, per pharmacology. SSRIs, beta blockers, and benzos lack this interaction-tyramine isn't their concern. MAOIs' dietary restriction is critical, a unique safety point.