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?
Serum albumin levels
Prothrombin time (PT)
Aspartate aminotransferase (AST) levels
Total bilirubin levels
The Correct Answer is D
A) Serum albumin is a protein synthesized by the liver, and its levels are often decreased in advanced liver cirrhosis due to impaired liver function. However, the question asks for an elevated finding, not a decreased one.
B) Prothrombin time (PT) measures the time it takes for blood to clot. In liver cirrhosis, PT is often prolonged due to impaired liver function and reduced production of clotting factors. However, the question asks for an elevated finding, not a prolonged one.
C) Aspartate aminotransferase (AST) is an enzyme found in the liver and other organs. While AST levels may be elevated in liver cirrhosis, it is not a specific marker for liver cirrhosis, and its elevation can occur in various liver diseases and conditions.
D) In liver cirrhosis, impaired liver function leads to reduced clearance of bilirubin, resulting in elevated total bilirubin levels in the blood. Elevated bilirubin is a common finding in liver cirrhosis and can contribute to jaundice.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A) While adequate protein intake is necessary for overall health, excessive protein intake may worsen hepatic encephalopathy in some clients with liver cirrhosis. The priority for this client is to avoid alcohol consumption, not necessarily to increase protein intake.
B) Clients with liver cirrhosis and associated ascites should be on a low-sodium diet to reduce fluid retention and prevent complications related to ascites.
C) Limiting fluid intake is not a standard recommendation for clients with liver cirrhosis. Instead, clients with ascites may be advised to follow a low-sodium diet and, if necessary, restrict fluid intake under the guidance of their healthcare provider.
D) For a client with liver cirrhosis, the most crucial dietary modification is to restrict alcohol consumption completely. Alcohol is a major contributing factor to liver damage and can exacerbate cirrhosis. Abstinence from alcohol is essential to prevent further liver injury and improve the client's overall prognosis.
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