A client with a history of chronic hepatitis C infection asks the nurse about the risk of developing liver cirrhosis. Which response by the nurse is accurate?

"Hepatitis C infection does not increase the risk of liver cirrhosis."

"The risk of liver cirrhosis is higher if you have hepatitis D co-infection."

"Liver cirrhosis is more likely to develop if you have a history of hepatitis B."

"Chronic hepatitis C infection can lead to liver cirrhosis over time."

Answer and Explanation

The Correct Answer is D

A) This statement is incorrect. Chronic hepatitis C infection is a significant risk factor for liver cirrhosis, and individuals with this infection require regular monitoring and appropriate medical management to prevent or delay the progression of cirrhosis.

B) While hepatitis D co-infection can worsen the course of chronic hepatitis B or C infection, it does not diminish the significance of hepatitis C infection as a risk factor for liver cirrhosis.

C) While chronic hepatitis B infection is also a known risk factor for liver cirrhosis, the client's history of hepatitis C infection is more relevant to the risk of developing cirrhosis in this case.

D) Chronic hepatitis C infection is a well-established risk factor for liver cirrhosis. The hepatitis C virus causes persistent inflammation in the liver, leading to liver cell damage and scarring (fibrosis). Over time, this fibrosis can progress to cirrhosis, which is the advanced stage of liver damage.

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Correct Answer is D

Explanation

A) Lactulose is used to treat hepatic encephalopathy and is not prescribed to reduce the risk of bleeding from esophageal varices.

B) Omeprazole is a proton pump inhibitor used to reduce stomach acid production and treat conditions such as peptic ulcers and gastroesophageal reflux disease (GERD). While it may be prescribed to manage gastritis or peptic ulcers, it is not primarily used to reduce the risk of bleeding from esophageal varices.

C) Furosemide is a diuretic used to manage fluid retention and ascites in clients with liver cirrhosis. It is not prescribed to reduce the risk of bleeding from esophageal varices.

D) Propranolol is a beta-blocker commonly used to reduce the risk of bleeding from esophageal varices in clients with liver cirrhosis. Propranolol helps decrease portal hypertension by reducing the pressure in the portal vein, thereby reducing the likelihood of variceal rupture and bleeding.

A. Portal hypertension B. Ascites C. Hepatocellular carcinoma D. Splenomegaly

Correct Answer is A

Explanation

A) In liver cirrhosis, portal hypertension occurs due to increased pressure in the portal vein, which carries blood from the intestines to the liver. The increased pressure leads to the development of portosystemic collaterals (collateral circulation) to divert blood flow. This can cause hypersplenism, a condition where the spleen becomes enlarged and traps platelets, leading to a decreased platelet count (thrombocytopenia).

B) Ascites is the accumulation of fluid in the abdominal cavity and is not directly related to a decreased platelet count.

C) Hepatocellular carcinoma is a type of liver cancer and can be a complication of liver cirrhosis. However, it is not the likely cause of the client's decreased platelet count.

D) Splenomegaly (enlargement of the spleen) can occur in liver cirrhosis due to portal hypertension. However, splenomegaly itself is not the cause of the decreased platelet count; it is the hypersplenism resulting from the splenomegaly that causes thrombocytopenia.

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A client with a history of chronic hepatitis C infection asks the nurse about the risk of developing liver cirrhosis. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis is at risk of developing esophageal varices. Which medication should the nurse expect to be prescribed to reduce the risk of bleeding from these varices?

Correct Answer is D

Explanation

A nurse is caring for a client with liver cirrhosis and notices that the client's platelet count is significantly decreased. Which complication of liver cirrhosis is the likely cause of this finding?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected liver cirrhosis. Which clinical manifestation should the nurse expect to find as an early sign of the condition?

A nurse is providing discharge teaching to a client with liver cirrhosis. Which dietary modification should the nurse recommend to the client?

A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

A client with liver cirrhosis is admitted to the hospital with hepatic encephalopathy. Which nursing intervention is essential in the care of this client?

A client with liver cirrhosis is found to have visible distended veins on the abdomen and chest. Which term should the nurse use to document this finding?

A nurse is reviewing the laboratory results of a client suspected to have liver cirrhosis. Which finding should the nurse expect to be elevated, indicating impaired liver function?

A client with liver cirrhosis has been referred for transient elastography. What is the primary purpose of this diagnostic test?

A client with liver cirrhosis is experiencing fluid retention and abdominal distension due to ascites. Which nursing intervention is essential to manage this complication?