A client diagnosed with chronic viral hepatitis asks the nurse how the virus causes liver damage. How should the nurse respond?
"The virus directly attacks and kills liver cells, leading to liver inflammation and scarring."
"Chronic viral hepatitis leads to an overactive immune response, which damages liver cells over time."
"The virus triggers an autoimmune reaction in the liver, causing damage to healthy liver cells."
"The virus impairs blood flow to the liver, resulting in decreased oxygen supply and subsequent tissue damage."
The Correct Answer is B
A) Incorrect. While the virus does cause damage to liver cells, it primarily does so by triggering an immune response, rather than directly killing the cells.
B) Correct. Chronic viral hepatitis leads to an overactive immune response, which damages liver cells over time. The immune system's attempt to fight the virus can inadvertently lead to inflammation and damage.
C) Incorrect. This describes autoimmune hepatitis, where the immune system mistakenly attacks liver cells, but it is not the mechanism of damage in chronic viral hepatitis.
D) Incorrect. This statement does not accurately describe the pathophysiology of chronic viral hepatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. While protein is important, a high-protein diet may not be suitable for all individuals with cirrhosis. It's important to maintain a balanced diet.
B) Correct. Fruits, vegetables, and whole grains provide essential nutrients and fiber that support overall health, including liver function.
C) Incorrect. Limiting fluid intake to an extreme degree can lead to dehydration, which is not recommended. Instead, individuals with cirrhosis should be mindful of their sodium and fluid intake to manage fluid retention.
D) Incorrect. While protein is important, relying solely on red meat is not recommended. A balanced diet with a variety of protein sources is preferable.
Correct Answer is B
Explanation
A) Incorrect. Mild jaundice can occur in liver disease but is not as concerning as easy bruising and bleeding.
B) Correct. Easy bruising and bleeding are indicative of advanced liver disease, as the liver plays a crucial role in producing clotting factors.
C) Incorrect. Occasional fatigue is a common symptom of liver disease, but it is not as concerning as easy bruising and bleeding.
D) Incorrect. Mild abdominal discomfort can occur in liver disease, but it is not as concerning as easy bruising and bleeding.
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