A nurse is providing discharge instructions to a client with liver cirrhosis. Which statement by the nurse is appropriate regarding alcohol consumption?

"Moderate alcohol intake is acceptable, but avoid binge drinking."

"You can resume your previous alcohol consumption habits."

"It is essential to stop drinking alcohol completely."

"Limit alcohol to only beer or wine but avoid hard liquor."

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. Even moderate alcohol intake can be harmful to a client with liver cirrhosis. Alcohol should be completely avoided to prevent exacerbation of liver damage.

B) This statement is incorrect. The client should not resume their previous alcohol consumption habits. Continued alcohol consumption can lead to further liver damage and complications.

C) For a client with liver cirrhosis, alcohol consumption should be completely avoided. Alcohol is a significant contributor to liver damage and can worsen the condition, leading to further complications. Abstinence from alcohol is crucial to prevent further liver injury and improve the client's overall prognosis.

D) This statement is incorrect. The client should not consume any type of alcoholic beverage. All forms of alcohol can be harmful to the liver, and complete abstinence is necessary for individuals with liver cirrhosis.

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Correct Answer is D

Explanation

A) This statement is incorrect. Chronic hepatitis C infection is a significant risk factor for liver cirrhosis, and individuals with this infection require regular monitoring and appropriate medical management to prevent or delay the progression of cirrhosis.

B) While hepatitis D co-infection can worsen the course of chronic hepatitis B or C infection, it does not diminish the significance of hepatitis C infection as a risk factor for liver cirrhosis.

C) While chronic hepatitis B infection is also a known risk factor for liver cirrhosis, the client's history of hepatitis C infection is more relevant to the risk of developing cirrhosis in this case.

D) Chronic hepatitis C infection is a well-established risk factor for liver cirrhosis. The hepatitis C virus causes persistent inflammation in the liver, leading to liver cell damage and scarring (fibrosis). Over time, this fibrosis can progress to cirrhosis, which is the advanced stage of liver damage.

A. Restricting fluid intake to reduce edema. B. Encouraging the client to consume a high-sodium diet. C. Assisting with paracentesis to drain the ascitic fluid. D. Administering diuretics to promote urine output.

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.

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A nurse is providing discharge instructions to a client with liver cirrhosis. Which statement by the nurse is appropriate regarding alcohol consumption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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 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 liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

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?

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?

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 at risk of developing esophageal varices. Which medication should the nurse expect to be prescribed to reduce the risk of bleeding from these varices?

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 admitted to the hospital with hepatic encephalopathy. Which nursing intervention is essential in the care of this client?