A nurse is caring for a client with advanced cirrhosis who has developed hepatic encephalopathy. What intervention is a priority for the nurse?
Administering a high-protein diet to support liver function
Administering lactulose to reduce ammonia levels
Administering sedatives to promote rest and relaxation
Administering iron supplements to address anemia
The Correct Answer is B
A) Incorrect. While protein is important, in the case of hepatic encephalopathy, reducing ammonia levels is the priority. A high-protein diet may exacerbate this condition.
B) Correct. Lactulose is a medication used to reduce ammonia levels in clients with hepatic encephalopathy, which is a complication of advanced cirrhosis.
C) Incorrect. Administering sedatives may worsen hepatic encephalopathy. The focus should be on reducing ammonia levels.
D) Incorrect. Administering iron supplements is not a priority in addressing hepatic encephalopathy. The focus should be on managing ammonia levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Hepatitis C can be treated with a combination of antiviral medications, and there are several effective treatment options available.
B) Incorrect. There are effective treatments available for Hepatitis C, and lifestyle modifications are typically combined with medical treatment.
C) Incorrect. Surgical intervention may be considered in advanced cases of liver disease, but it is not the primary treatment for Hepatitis C.
D) Incorrect. While liver transplantation may be an option for severe cases of Hepatitis C with advanced liver damage, it is not the only treatment option available. Antiviral medications are the first-line treatment.
Correct Answer is B
Explanation
A) Incorrect. Cirrhosis is a chronic condition that develops over an extended period, often years, rather than rapidly within a few weeks.
B) Correct. In cirrhosis, healthy liver tissue is gradually replaced by scar tissue, which impairs liver function. This progressive replacement of functional tissue with fibrous tissue leads to the loss of normal liver function.
C) Incorrect. While cirrhosis can affect the biliary system, it is not the primary mechanism of damage.
D) Incorrect. Cirrhosis is considered an irreversible condition, although early intervention and treatment can help manage symptoms and slow its progression.
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