Show:
Patho Review
Cirrhosis
Hepatitis
Cirrhosis 2
Anything Goes
100
Increasing pressure in the portal vein can be evidenced by: A. Distended veins along the gastrointestinal tract B. Elevated blood pressure C. Signs of infection D. Jaundice
What is A (Distended veins along the gastrointestinal tract)
100
Which topic is most important to include in patient teaching for a 41-year-old patient diagnosed with early alcoholic cirrhosis? A. Maintaining good nutrition B. Avoiding alcohol ingestion C. Taking lactulose (Cephulac) D. Using vitamin B supplements
What is B (avoiding alcohol ingestion)
100

Which information given by a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C? A. The patient had a blood transfusion in 2005. B. The patient used IV drugs about 20 years ago. C. The patient frequently eats in fast-food restaurants. D. The patient traveled to a country with poor sanitation.

What is B (The patient used IV drugs about 20 years ago)

100

The nurse is concerned about potassium loss when a diuretic is prescribed for a patient with ascites and edema. What diuretic may be ordered that spares potassium and helps to prevent hypokalemia? A. Furosemide (Lasix) B. Spironolactone (Aldactone) C. Acetazolamide (Diamox) D. Bumetanide (Bumex)

What is B (Spironolactone/Aldactone)

100

The nurse is interviewing a patient suspected of having liver dysfunction. An essential question to ask the patient is: A. “What drugs are you taking?” B. “Do you exercise regularly?” C. “Does depression run in your family?” D. “Are milk products a part of your daily diet?”

What is A. “What drugs are you taking?”

200
The best explanation for fluid volume excess in patients with hepatic dysfunction is: A. Extreme thirst B. Decreased excretion of aldosterone C. Excessive salt intake caused by increased water intake D. Shifting of fluid from vascular to interstitial space
What is D (shifting of fluid from vascular to interstitial space)
200

For a patient with cirrhosis, which of the following nursing actions can the nurse delegate to unlicensed assistive personnel? A. Assessing the patient for jaundice B. Providing oral hygiene after a meal C. Palpating the abdomen for distention D. Teaching the patient about a low-sodium diet

What is B (Providing oral hygiene after a meal)

200

A patient with hepatitis A asks whether other family members are at risk for "catching" the disease. The nurse's response will be based on the knowledge that hepatitis A is transmitted primarily: A. during sexual intercourse B. by contact with infected body secretions C. through fecal contamination of food or water D. Through kissing that involves contact with mucous membranes

What is C (through fecal contamination of food or water)

200

In a patient with cirrhosis, the nursing diagnosis "Risk for injury and bleeding related to prolonged clotting factors" is most appropriate related to which disorder? A. Pruritus B. Vitamin K deficiency C. Hyponatremia D. Ascites

What is B (Vitamin K deficiency)

200

What instructions should the patient be given before undergoing paracentesis? A. Empty bladder B. Remove dentures C. Take nothing by mouth D. Cleanse bowel with enemas

What is A (empty bladder)

300
The patient with advanced cirrhosis asks why his or her skin is so yellow. The nurse's response is based on the knowledge that A. Decreased peristalsis in the gastrointestinal tract contributes to a buildup of bile salts B. Jaundice results from the body's inability to conjugate and excrete bilirubin C. A lack of clotting factors promotes the collection of blood under the skin surface D. Decreased colloidal oncotic pressure from hypoalbuminemia causes the yellowish skin discoloration
What is B (jaundice results from the body's inability to conjugate and excrete bilirubin)
300

The nurse is caring for a 73-year-old man who has cirrhosis. Which data obtained by the nurse during the assessment will be of most concern? A. The patient complains of right upper-quadrant pain with palpation. B. The patient's hands flap back and forth when the arms are extended. C. The patient has ascites and a 2-kg weight gain from the previous day. D. The patient's skin has multiple spider-shaped blood vessels on the abdomen.

What is B (The patient's hands flap back and forth when the arms are extended)

300
A patient is being evaluated for possible hepatitis C infection. Which question will best assist the nurse in identifying if a common method of exposure has occurred? A. "Have you traveled outside the country recently?" B. "Do you eat a lot of uncooked shellfish?" C. "Have you ever had a tattoo?" D. "Do you share eating utensils with anyone infected with hepatitis?"
What is C. "Have you ever had a tattoo?"
300

The nurse anticipates which dietary restrictions to help prevent ascites in the patient with advanced liver disease? A. Sodium B. Potassium C. Thiamine D. Folic acid

What is A (sodium)

300

A client with alcoholic cirrhosis develops hematemesis. For which intervention will the nurse prepare this client? A. Magnetic resonance imaging B. Upper endoscopy C. Blood transfusion D. Nasogastric tube insertion

What is B (Upper endoscopy)

 

400
The nurse should recognize that the liver performs which functions? Select all that apply. A. Bile storage B. Detoxification C. Protein metabolism D. Steroid metabolism E. Red blood cell (RBC) destruction
What is B, C, D, and E Detoxification Protein metabolism Steroid metabolism Red blood cell (RBC) destruction
400

Which finding indicates to the nurse that lactulose (Cephulac) is effective for a 72-year-old man who has advanced cirrhosis? A. The patient is alert and oriented. B. The patient denies nausea or anorexia. C. The patient's bilirubin level decreases. D. The patient has at least one stool daily.

What is A (The patient is alert and oriented)

400

The nursing diagnosis that is least likely for the patient with hepatitis A is: A. Ineffective breathing pattern related to abdominal ascites B. Fatigue related to increased metabolic needs and/or anorexia C. Risk for impaired skin integrity related to scratching, pruritus D. Pain: itching, related to impaired bilirubin metabolism/jaundice

What is A (Ineffective breathing pattern related to abdominal ascites)

400

A patient with cirrhosis of the liver has an albumin level of 2.5 g/dL. The nurse should plan care for this patient to address the patient's risk for developing: A. Peripheral edema B. Prolonged blood congestion C. Jaundice of the skin D. Vitamin A malabsorption

What is A (peripheral edema)

400

Lactulose (Cephulac) is administered to a patient diagnosed with hepatic encephalopathy to reduce which of the following? A. Ammonia B. Calcium C. Bicarbonate D. Alcohol 

What is A (Ammonia)


500
The patient with cirrhosis has an increased abdominal girth from ascites. The nurse should know that this fluid gathers in the abdomen for which reasons (select all that apply)? A. There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin. B. Hyperaldosteronism related to vasodilation increases sodium and fluid retention. C. Portal hypertension pushes proteins from the blood vessels, causing leaking into the peritoneal cavity. D. Overactivity of the enlarged spleen results in increased removal of blood cells from the circulation, which decreases the vascular pressure.
What is A, B, and C A. There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin. B. Hyperaldosteronism related to vasodilation increases sodium and fluid retention. C. Portal hypertension pushes proteins from the blood vessels, causing leaking into the peritoneal cavity.
500

A client is given a diagnosis of hepatic cirrhosis. The client asks the nurse what findings led to this determination. Which of the following clinical manifestations would the nurse correctly identify? Select all that apply. A. Enlarged liver B. Ascites C. Accelerated behaviors and mental processes D. Hemorrhoids E. Excessive storage of Vit.C

What is A-enlarged liver, B-ascites, D-hemorrhoids


500

A patient with acute hepatitis B will be discharged tomorrow. The nurse should include which measures in the discharge teaching plan? Select all that apply. A. Restrict fluid intake. B. Avoid alcohol. C. Allow for rest periods during the day. D. Gradually increase activity level. E. Eat small meals frequently.

What is B, C, D, and E B. Avoid alcohol. C. Allow for rest periods during the day. D. Gradually increase activity level. E. Eat small meals frequently.

500

When planning care for a patient with cirrhosis, the nurse will give highest priority to which nursing diagnosis? A. Impaired skin integrity related to edema, ascites, and pruritus B. Imbalanced nutrition: less than body requirements related to anorexia C. Excess fluid volume related to portal hypertension and hyperaldosteronism D. Ineffective breathing pattern related to pressure on diaphragm and reduced lung volume

What is D (Ineffective breathing pattern related to pressure on diaphragm and reduced lung volume)

500

After paracentesis, which assessment finding should be immediately reported to the physician? A. Nausea and anorexia B. Fatigue and dark-orange urine C. Respirations 20/min and dry mouth D. Rigid abdomen and low urine output

What is D (rigid abdomen and low urine output)