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 C

Explanation

A) This statement is incorrect. Even moderate alcohol intake can be harmful to a client with liver cirrhosis. Alcohol should be completely avoided to prevent exacerbation of liver damage.

B) This statement is incorrect. The client should not resume their previous alcohol consumption habits. Continued alcohol consumption can lead to further liver damage and complications.

C) For a client with liver cirrhosis, alcohol consumption should be completely avoided. Alcohol is a significant contributor to liver damage and can worsen the condition, leading to further complications. Abstinence from alcohol is crucial to prevent further liver injury and improve the client's overall prognosis.

D) This statement is incorrect. The client should not consume any type of alcoholic beverage. All forms of alcohol can be harmful to the liver, and complete abstinence is necessary for individuals with liver cirrhosis.

A. Encouraging the client to lie on the right side. B. Administering pain medication as needed. C. Monitoring vital signs every 4 hours. D. Instructing the client to maintain a supine position for 12 hours.

Correct Answer is A

Explanation

A. Encouraging the client to lie on the right side after a liver biopsy is essential because this position helps to apply pressure to the biopsy site, reducing the risk of bleeding.
B. While administering pain medication may be necessary, it is not the primary nursing action following a liver biopsy compared to ensuring hemostasis and preventing complications.
C. Monitoring vital signs is important, but in this case, vital signs should be checked more frequently than every 4 hours to assess for complications like bleeding. Initial monitoring is typically every 15 minutes for the first hour and then every 30 minutes to hourly based on facility protocols.
D. Although maintaining a supine position is typically advised, the focus should be on the right side position to ensure proper hemostasis following the biopsy procedure.

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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 nurse is providing discharge instructions to a client with liver cirrhosis. Which statement by the nurse is appropriate regarding alcohol consumption?

Correct Answer is C

Explanation

A client with suspected liver cirrhosis undergoes a liver biopsy. Which nursing action is essential following the procedure?

Correct Answer is A

Explanation

A nurse is assessing a client with liver cirrhosis and observes that the client has altered mental status and confusion. Which action should the nurse take first?

A nurse is providing community education on the risk factors for liver cirrhosis. Which risk factor should the nurse emphasize as the leading cause of liver cirrhosis?

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

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?

A client with suspected liver cirrhosis is scheduled for a diagnostic imaging test. Which imaging modality is commonly used to assess the liver's size, shape, and structure in clients with cirrhosis?