A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

Hepatotoxic medications

Hepatitis C

Excessive alcohol consumption

Obstruction of the bile duct

Answer and Explanation

The Correct Answer is D

A.   Hepatotoxic medications can contribute to liver damage but are not a primary cause of biliary cirrhosis. However, they can contribute to cirrhosis through other mechanisms.
B.   Hepatitis C is a viral infection that primarily affects the liver and can lead to cirrhosis, but it is not specifically classified as a cause of biliary cirrhosis.
C.   Excessive alcohol consumption can cause alcoholic liver disease, which may progress to

cirrhosis, but it is not directly related to biliary cirrhosis, which is characterized by damage to the bile ducts.
D. Biliary cirrhosis, also known as primary biliary cirrhosis (PBC) or primary biliary cholangitis (PBC), is a chronic liver disease characterized by progressive destruction of the bile ducts in the liver. Obstruction of the bile ducts contributes to the development of biliary cirrhosis.

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Correct Answer is B

Explanation

A. Micromanaging and focusing solely on errors can create a negative work environment and decrease staff morale and motivation.
B. Acknowledging staff accomplishments and providing positive feedback fosters a positive work environment, boosts staff morale, and motivates employees to continue performing well.
C. While addressing errors is important, providing only negative feedback can be demoralizing and may not effectively motivate staff to improve.
D. Threatening severe punishment for errors can create a culture of fear and may lead to decreased morale and motivation among staff members.

A. Measure the client's abdominal girth. B. Implement a low-sodium diet. C. Administer furosemide. D. Administer warfarin. E. Encourage eating raw or undercooked shellfish, fish, and meat.

Correct Answer is ["A","B"]

Explanation

A. Monitoring abdominal girth is important in clients with cirrhosis to assess for ascites, which is a common complication. Changes in abdominal girth can indicate fluid accumulation.
B. Implementing a low-sodium diet is important in managing cirrhosis and preventing complications such as ascites and fluid retention.
C. Administering furosemide may exacerbate electrolyte imbalances in clients with cirrhosis and is not typically indicated unless specifically prescribed by the healthcare provider for managing fluid retention.
D. Administering warfarin may increase the risk of bleeding in clients with cirrhosis due to

impaired liver function and coagulopathy. Warfarin use in cirrhosis requires careful monitoring and is not typically a standard treatment unless indicated for specific conditions such as
thrombosis.

E. Encouraging eating raw or undercooked shellfish, fish, and meat is contraindicated in clients with liver disease due to the risk of bacterial and parasitic infections, which can lead to further complications.

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A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is ["A","B"]

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