A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?
Risk for bleeding
Risk for activity intolerance
Risk for impaired nutrition: less than body requirements
Risk for impaired skin integrity
The Correct Answer is A
A) Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding.
B) While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided.
C) Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding.
D) Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Bowel pattern changes are not typically associated with hepatitis C.
B) Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C) Travel history is not directly relevant to assessing for hepatitis C transmission.
D) While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.
Correct Answer is A
Explanation
A) Gallstones are a leading cause of acute pancreatitis as they can block the pancreatic duct.
B) While inflammation of the duodenum can cause abdominal symptoms, it does not directly lead to acute pancreatitis.
C) Diabetes results from the dysfunction of the pancreas after damage but does not cause acute pancreatitis.
D) Hepatitis C affects the liver and does not directly cause pancreatitis.
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