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?
Lactulose
Omeprazole
Furosemide
Propranolol
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) While adequate protein intake is important for overall health, encouraging the client to increase protein intake is not a priority in managing ascites. The priority is to address fluid retention through diuretic therapy.
B) While ambulation can be beneficial for clients with liver cirrhosis, it is not the priority for managing ascites. Diuretic therapy is more directly targeted at reducing fluid accumulation.
C) The priority nursing intervention for managing ascites in a client with liver cirrhosis is administering diuretics as prescribed by the healthcare provider. Diuretics help reduce fluid retention and alleviate the pressure caused by the accumulation of fluid in the abdomen. This intervention aims to improve the client's comfort and prevent the development of further complications associated with ascites.
D) Deep breathing exercises can be helpful for clients with liver cirrhosis, but they are not the priority for managing ascites. The focus should be on diuretic therapy and addressing the fluid retention in the abdomen.
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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