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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Over-the-counter pain relievers may not be effective for alleviating fatigue and weakness associated with hepatitis. Moreover, some pain relievers can be harmful to the liver.
B) Correct. Resting and conserving energy are important interventions for clients experiencing fatigue and weakness, which are common symptoms of hepatitis. Adequate rest supports the body's healing process.
C) Incorrect. While exercise is generally beneficial, scheduling vigorous exercise sessions may be too strenuous for a client experiencing fatigue and weakness. Gentle, low-impact activities are more appropriate.
D) Incorrect. Providing caffeinated beverages may not address the underlying cause of the client's fatigue, and excessive caffeine intake can have negative effects on overall health.
Correct Answer is B
Explanation
A) Incorrect. While the virus does cause damage to liver cells, it primarily does so by triggering an immune response, rather than directly killing the cells.
B) Correct. Chronic viral hepatitis leads to an overactive immune response, which damages liver cells over time. The immune system's attempt to fight the virus can inadvertently lead to inflammation and damage.
C) Incorrect. This describes autoimmune hepatitis, where the immune system mistakenly attacks liver cells, but it is not the mechanism of damage in chronic viral hepatitis.
D) Incorrect. This statement does not accurately describe the pathophysiology of chronic viral hepatitis.
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