A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

Blood in the urine

Spider angiomas

Tarry stools

Moist skin

Answer and Explanation

The Correct Answer is B

Choice A reason:

Blood in the urine (hematuria) is not typically associated with cirrhosis. It may be related to other underlying conditions.

Choice B reason:

Spider angiomas (also known as spider nevi) are expected findings in clients with cirrhosis.

They are small, dilated blood vessels near the surface of the skin that resemble a spider's web. They can be found on the face, neck, upper trunk, and arms.

Choice C reason:

Tarry stools (melena) can occur in individuals with gastrointestinal bleeding, which can be a complication of cirrhosis. However, it is not a specific finding for cirrhosis itself.

Choice D reason:

Moist skin is not a characteristic finding associated with cirrhosis. It may be related to other factors such as environmental humidity or individual factors like sweating.

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Correct Answer is B

Explanation

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

A. Sudden thirst, unrelieved by oral fluid administration B. Tachycardia, hypotension, and tachypnea C. Diaphoresis and sudden onset of abdominal pain D. Tarry, foul-smelling stools

Correct Answer is B

Explanation

Choice A reason:

Sudden thirst, unrelieved by oral fluid administration, may indicate dehydration, but it is not specific to a recurrence of upper GI bleeding.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of upper GI bleeding and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to a recurrence of upper GI bleeding.

Choice D reason:

Tarry, foul-smelling stools (melena) are indicative of upper GI bleeding. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

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A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is B

Explanation

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is now stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Correct Answer is B

Explanation

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