A nurse is assessing a client with cirrhosis. Which finding is most indicative of advanced cirrhosis?
Spider angiomas, jaundice, and ascites
Mild fatigue and occasional abdominal discomfort
Elevated liver enzymes and occasional nausea
Mild splenomegaly and weight loss
The Correct Answer is A
A) Correct. Spider angiomas (vascular lesions on the skin), jaundice (yellowing of the skin and eyes), and ascites (accumulation of fluid in the abdomen) are indicative of advanced cirrhosis.
B) Incorrect. Mild fatigue and occasional abdominal discomfort may be present in cirrhosis, but they are not specific indicators of advanced disease.
C) Incorrect. Elevated liver enzymes and occasional nausea can be seen in cirrhosis, but they do not specifically indicate advanced stages.
D) Incorrect. Mild splenomegaly (enlarged spleen) and weight loss can occur in cirrhosis, but they are not as indicative of advanced disease as the combination of spider angiomas, jaundice, and ascites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Standard precautions, which include practices such as hand hygiene, wearing gloves, and using personal protective equipment, are essential for preventing the spread of hepatitis.
B) Incorrect. Contact precautions are not specifically required for preventing the spread of hepatitis.
C) Incorrect. Airborne precautions are not necessary for preventing the spread of hepatitis, as it is primarily transmitted through blood and other bodily fluids.
D) Incorrect. Droplet precautions are not necessary for preventing the spread of hepatitis, as it is not primarily transmitted through respiratory droplets.
Correct Answer is A
Explanation
A) Correct. An abdominal ultrasound is a non-invasive imaging test that uses sound waves to create images of the liver's internal structure and blood flow patterns.
B) Incorrect. An abdominal ultrasound does not involve the injection of a contrast dye. This description may be more applicable to other imaging tests.
C) Incorrect. An abdominal ultrasound does not involve the removal of liver tissue. This is more characteristic of a liver biopsy.
D) Incorrect. While an abdominal ultrasound primarily assesses abdominal organs, including the liver, it does not primarily focus on kidney function.
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