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 C

Explanation

A) Restricting fluid intake is not appropriate for managing ascites in clients with liver cirrhosis. Ascites occurs due to fluid accumulation in the peritoneal cavity and is not primarily influenced by oral fluid intake.

B) Encouraging a high-sodium diet is contraindicated in clients with ascites. High sodium intake can exacerbate fluid retention and worsen ascites. Instead, clients with ascites should be on a low-sodium diet to reduce fluid accumulation.

C) In a client with liver cirrhosis experiencing fluid retention and abdominal distension due to ascites, paracentesis is an essential intervention to drain the accumulated ascitic fluid from the abdominal cavity. Paracentesis helps to relieve discomfort, improve respiratory function, and reduce intra-abdominal pressure.

D) Diuretics are used in the management of ascites to promote urine output and reduce fluid retention. However, paracentesis is a more immediate intervention for relieving discomfort and removing a large volume of ascitic fluid.

A. Magnetic resonance imaging (MRI) B. Positron emission tomography (PET) C. Computed tomography (CT) scan D. Electroencephalogram (EEG)

Correct Answer is C

Explanation

A) While MRI is also used to assess the liver, it may not be the first-line imaging modality for assessing the size and structure of the liver in clients with cirrhosis.

B) PET scans are mainly used to evaluate cellular metabolism and tissue function, including cancerous cells. While it can be helpful in detecting liver tumors, it may not be the primary choice for assessing liver size and structure in cirrhosis.

C) Computed tomography (CT) scan is commonly used to assess the liver's size, shape, and structure in clients with liver cirrhosis. CT provides detailed cross-sectional images of the liver, helping to identify any abnormalities, including liver nodules, fibrosis, and signs of portal hypertension.

D) An electroencephalogram (EEG) is a test used to record electrical activity in the brain. It is not used to assess the liver's size, shape, or structure in clients with liver cirrhosis.

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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 is experiencing fluid retention and abdominal distension due to ascites. Which nursing intervention is essential to manage this complication?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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 nurse is reviewing the laboratory results of a client suspected to have liver cirrhosis. Which finding should the nurse expect to be elevated, indicating impaired liver function?

A nurse is caring for a client with liver cirrhosis and notices that the client's platelet count is significantly decreased. Which complication of liver cirrhosis is the likely cause of this finding?

A nurse is assessing a client with liver cirrhosis and observes that the client has altered mental status and confusion. Which action should the nurse take first?

A client with liver cirrhosis is experiencing episodes of hepatic encephalopathy. Which medication should the nurse anticipate administering to help reduce ammonia levels in the blood?

A client with liver cirrhosis is prescribed lactulose to manage hepatic encephalopathy. What should the nurse instruct the client about taking this medication?

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 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?