A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

Hemochromatosis

Wilson's disease

Alpha-1 antitrypsin deficiency

Primary biliary cholangitis

Answer and Explanation

The Correct Answer is A

A) Hemochromatosis is a genetic disorder characterized by excessive iron absorption from the diet, leading to the accumulation of iron in various organs, including the liver. In individuals with hemochromatosis, the excess iron can cause liver cell injury and lead to cirrhosis over time.

B) Wilson's disease is a genetic disorder that causes impaired copper metabolism, leading to copper accumulation in the liver and other organs. While it can lead to liver damage, it is not associated with elevated iron levels.

C) Alpha-1 antitrypsin deficiency is a genetic disorder that affects the lungs and liver. It can lead to liver disease, but it does not cause elevated iron levels.

D) Primary biliary cholangitis is an autoimmune liver disease that primarily affects the small bile ducts within the liver. While it can lead to liver damage and cirrhosis, it is not associated with elevated iron levels.

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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.

A. Serum albumin levels B. Prothrombin time (PT) C. Aspartate aminotransferase (AST) levels D. Total bilirubin levels

Correct Answer is D

Explanation

A) Serum albumin is a protein synthesized by the liver, and its levels are often decreased in advanced liver cirrhosis due to impaired liver function. However, the question asks for an elevated finding, not a decreased one.

B) Prothrombin time (PT) measures the time it takes for blood to clot. In liver cirrhosis, PT is often prolonged due to impaired liver function and reduced production of clotting factors. However, the question asks for an elevated finding, not a prolonged one.

C) Aspartate aminotransferase (AST) is an enzyme found in the liver and other organs. While AST levels may be elevated in liver cirrhosis, it is not a specific marker for liver cirrhosis, and its elevation can occur in various liver diseases and conditions.

D) In liver cirrhosis, impaired liver function leads to reduced clearance of bilirubin, resulting in elevated total bilirubin levels in the blood. Elevated bilirubin is a common finding in liver cirrhosis and can contribute to jaundice.

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A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

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