A nurse is providing community education on the risk factors for liver cirrhosis. Which risk factor should the nurse emphasize as the leading cause of liver cirrhosis?

Chronic viral hepatitis (B, C, or D)

Alcohol abuse

Nonalcoholic fatty liver disease (NAFLD)

Autoimmune hepatitis

Answer and Explanation

The Correct Answer is B

A)   Chronic viral hepatitis is a significant risk factor for liver cirrhosis, especially in regions where these viruses are prevalent. However, alcohol abuse is considered the leading cause of liver cirrhosis.
B)   Among the listed risk factors, alcohol abuse is the leading cause of liver cirrhosis in many parts of the world. Prolonged and excessive alcohol consumption can directly damage liver cells, leading to inflammation and subsequent scarring. The risk of developing cirrhosis is closely related to the amount and duration of alcohol consumption.
C)   NAFLD is a growing concern and a leading cause of liver disease globally. It is strongly associated with obesity, insulin resistance, type 2 diabetes, and metabolic syndrome. While NAFLD is a significant risk factor for liver cirrhosis, alcohol abuse holds the highest association with cirrhosis.
D)   Autoimmune hepatitis is an immune-mediated liver disease that can lead to chronic inflammation and cirrhosis if not properly managed. While it is a risk factor for cirrhosis, alcohol abuse remains the leading cause of the condition.

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Correct Answer is A

Explanation

A)Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to drain the accumulated fluid in clients with ascites. This procedure is performed to relieve abdominal pressure and discomfort, as well as to facilitate diagnostic testing on the ascitic fluid.

B) Thoracentesis is a procedure to drain fluid from the pleural cavity, which is the space surrounding the lungs. It is not used to treat ascites.

C) Pleurodesis is a procedure performed to create adhesions between the two layers of the pleura to prevent recurrent pleural effusions (fluid accumulation in the pleural cavity). It is not used to treat ascites.

D) Pericardiocentesis is a procedure to drain fluid from the pericardial sac surrounding the heart. It is not used to treat ascites.

A. Jaundice B. Ascites C. Spider angiomas D. Hepatic encephalopathy

Correct Answer is C

Explanation

A) Jaundice (yellowing of the skin and eyes) typically appears later in the course of liver cirrhosis and is usually associated with more advanced liver damage.

B) Ascites, the accumulation of fluid in the abdominal cavity, is a later manifestation of liver cirrhosis and usually occurs after significant liver damage has occurred.

C) Spider angiomas, also known as spider nevi or spider telangiectasias, are dilated blood vessels that appear as small red spots with tiny radiating legs. They are a common early sign of liver cirrhosis and result from increased pressure in the superficial blood vessels due to impaired liver function. Spider angiomas are often found on the face, neck, upper trunk, and arms.

D) Hepatic encephalopathy, a neuropsychiatric complication of advanced liver disease, is also a later manifestation of liver cirrhosis and is not an early sign of the condition.

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A nurse is providing community education on the risk factors for liver cirrhosis. Which risk factor should the nurse emphasize as the leading cause of liver cirrhosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis presents with severe ascites. Which procedure should the nurse anticipate being performed to drain the accumulated fluid from the peritoneal cavity?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected liver cirrhosis. Which clinical manifestation should the nurse expect to find as an early sign of the condition?

Correct Answer is C

Explanation

A client with liver cirrhosis is found to have visible distended veins on the abdomen and chest. Which term should the nurse use to document this finding?

A nurse is providing discharge teaching to a client with liver cirrhosis. Which dietary modification should the nurse recommend to the client?

A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

A client with liver cirrhosis complains of difficulty sleeping at night due to frequent awakenings caused by shortness of breath. Which complication should the nurse suspect as the most likely cause of the client's symptom?

A client with a history of chronic hepatitis C infection asks the nurse about the risk of developing liver cirrhosis. Which response by the nurse is accurate?

A client with liver cirrhosis has been referred for transient elastography. What is the primary purpose of this diagnostic test?

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?

A client with suspected liver cirrhosis is scheduled for a diagnostic imaging test. Which imaging modality is commonly used to assess the liver's size, shape, and structure in clients with cirrhosis?