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

To assess the severity of esophageal varices.

To evaluate liver function and enzyme levels.

To measure liver stiffness and assess fibrosis.

To identify hepatic encephalopathy.

Answer and Explanation

The Correct Answer is C

A) Transient elastography is not used to assess esophageal varices. Endoscopy is the primary method for diagnosing and grading the severity of esophageal varices in clients with liver cirrhosis.

B) Transient elastography is primarily used to assess the degree of liver fibrosis, not to evaluate liver function or enzyme levels. Liver function and enzyme levels are typically evaluated through blood tests, such as liver function tests (LFTs), which measure liver enzymes, bilirubin, albumin, and other markers of liver health and function.

C) Transient elastography is a non-invasive imaging technique used to assess liver stiffness, which correlates with the degree of fibrosis in the liver. It provides information about the presence and severity of liver fibrosis, aiding in the diagnosis and staging of liver cirrhosis.

D) Transient elastography is not used to identify hepatic encephalopathy. Hepatic encephalopathy is a neuropsychiatric complication of advanced liver disease, and its diagnosis is based on clinical assessment, mental status evaluation, and laboratory tests. Transient elastography is not involved in identifying or diagnosing hepatic encephalopathy.

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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.

A. Chronic viral hepatitis (B, C, or D) B. Alcohol abuse C. Nonalcoholic fatty liver disease (NAFLD) D. Autoimmune hepatitis

Correct Answer is B

Explanation

A) Chronic viral hepatitis is a significant risk factor for liver cirrhosis, especially in regions where these viruses are prevalent. However, alcohol abuse is considered the leading cause of liver cirrhosis.
B) Among the listed risk factors, alcohol abuse is the leading cause of liver cirrhosis in many parts of the world. Prolonged and excessive alcohol consumption can directly damage liver cells, leading to inflammation and subsequent scarring. The risk of developing cirrhosis is closely related to the amount and duration of alcohol consumption.
C) NAFLD is a growing concern and a leading cause of liver disease globally. It is strongly associated with obesity, insulin resistance, type 2 diabetes, and metabolic syndrome. While NAFLD is a significant risk factor for liver cirrhosis, alcohol abuse holds the highest association with cirrhosis.
D) Autoimmune hepatitis is an immune-mediated liver disease that can lead to chronic inflammation and cirrhosis if not properly managed. While it is a risk factor for cirrhosis, alcohol abuse remains the leading cause of the condition.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

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