A nurse observes the following during the physical exam. How will the nurse document this finding?

Grey-Turner Sign

Steatorrhea

Asterixis

Cullen's Sign

Answer and Explanation

The Correct Answer is D

A. Grey-Turner Sign: Grey-Turner Sign refers to bruising along the flanks, often associated with retroperitoneal hemorrhage or acute pancreatitis.

B. Steatorrhea: Steatorrhea refers to fatty stools that are pale, bulky, and foul-smelling, indicating malabsorption, not a physical exam finding on the skin.

C. Asterixis: Asterixis, also known as "liver flap," is a tremor of the hand when the wrist is extended, seen in hepatic encephalopathy, not a skin finding.

D. Cullen's Sign: Cullen's Sign is bruising around the umbilicus, indicating intra-abdominal bleeding, often seen in conditions such as acute pancreatitis or ruptured ectopic pregnancy.

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

Explanation

A. Annual vitamin K injections: Vitamin K injections do not prevent Hepatitis B.

B. Use of standard precautions: Standard precautions reduce the risk of exposure to bloodborne pathogens, including Hepatitis B.

C. Consumption of a vitamin-rich diet: While a healthy diet is important, it does not specifically prevent Hepatitis B.

D. Annual vitamin B12 injections: Vitamin B12 injections are unrelated to Hepatitis B prevention.

E. Immunization: Vaccination is a key preventive measure against Hepatitis B.

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava B. A shunt will divert blood from the aorta to the inferior vena cava C. A shunt will divert blood from the portal vein to the hepatic vein D. A shunt will divert blood from the aorta to the hepatic vein

Correct Answer is C

Explanation

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava: This is not the correct pathway for a TIPS procedure.

B. A shunt will divert blood from the aorta to the inferior vena cava: This describes a different vascular pathway unrelated to TIPS.

C. A shunt will divert blood from the portal vein to the hepatic vein: TIPS (Transjugular Intrahepatic Portosystemic Shunt) is a procedure that creates a pathway between the portal vein and hepatic vein, reducing portal hypertension and preventing variceal bleeding.

D. A shunt will divert blood from the aorta to the hepatic vein: This is not the correct anatomical pathway for a TIPS procedure.

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A nurse observes the following during the physical exam. How will the nurse document this finding?

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Naxlex Comprehensive Predictor Exams

A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

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

Explanation

A patient with cirrhosis is scheduled for a TIPS procedure. Which of the following correctly describes a TIPS procedure?

Correct Answer is C

Explanation

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