Identify two causes of ascites related to liver cirrhosis:

Poor nutrition related to alcoholism results in abdominal obesity.

Portal hypertension pushes proteins from the blood vessels, causing leakage into the peritoneal cavity.

Osmoreceptors in the hypothalamus stimulate thirst, which causes the patient to take in excessive fluids orally.

There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin.

Answer and Explanation

Correct Answer : B,D

Choice A reason: Poor nutrition related to alcoholism can lead to abdominal obesity, but it is not a direct cause of ascites in liver cirrhosis. Ascites is primarily due to factors like portal hypertension and decreased colloid oncotic pressure.

Choice B reason: Portal hypertension is a significant cause of ascites in liver cirrhosis. The increased pressure in the portal vein causes proteins to leak from the blood vessels into the peritoneal cavity, leading to fluid accumulation.

Choice C reason: Osmoreceptors in the hypothalamus stimulating thirst can lead to excessive fluid intake, but this is not a direct cause of ascites related to liver cirrhosis. Ascites is more directly linked to portal hypertension and decreased colloid oncotic pressure.

Choice D reason: Decreased colloid oncotic pressure due to the liver's inability to synthesize albumin is a key factor in the development of ascites. Albumin helps maintain fluid balance in the blood vessels, and its deficiency leads to fluid leakage into the peritoneal cavity.

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Correct Answer is A

Explanation

Reason: Blood sugar monitoring is a necessary intervention for patients with pancreatitis because the pancreas plays a critical role in regulating blood sugar levels through the production of insulin and glucagon. Inflammation or damage to the pancreas can lead to impaired insulin secretion and glucose metabolism, potentially causing hyperglycemia (high blood sugar levels). Therefore, monitoring blood sugar is essential to manage and prevent complications associated with pancreatitis.

A. Improve public transportation to the clinic B. Obtain low-cost medications for clinic patients C. Teach clinic staff about cultural health beliefs D. Update equipment and supplies at the clinic

Correct Answer is C

Explanation

Choice A reason: Improving public transportation to the clinic would indeed make it easier for residents to access healthcare services. However, this strategy alone does not directly address the cultural and specific health needs of the Hispanic community.

Choice B reason: Obtaining low-cost medications for clinic patients can alleviate some financial burdens and improve access to necessary treatments. While this is beneficial, it does not tackle the root of health disparities related to cultural differences and health beliefs.

Choice C reason: Teaching clinic staff about cultural health beliefs is crucial for reducing health care disparities and promoting health equity. Understanding the cultural background, health beliefs, and practices of the Hispanic community allows healthcare providers to deliver more culturally competent and patient-centered care, building trust and improving health outcomes.

Choice D reason: Updating equipment and supplies at the clinic can enhance the quality of care provided. However, without addressing the cultural competency of the healthcare staff, this strategy does not directly impact health equity or reduce disparities specific to the Hispanic community.

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Identify two causes of ascites related to liver cirrhosis:

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Naxlex Comprehensive Predictor Exams

A necessary intervention for patients with pancreatitis is blood sugar monitoring.

Correct Answer is A

Explanation

The nurse works in a clinic located in a community where many of the residents are Hispanic. Which strategy, if implemented by the nurse, would decrease health care disparities and promote health equity for this community?

Correct Answer is C

Explanation

In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes, including the patient's self-management care plan?

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Which action would the nurse take while providing home care to a patient with a stoma after a tracheostomy? Select all that apply. One, some, or all responses may be correct.

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The nurse works in a clinic located in a community where many of the residents are Hispanic. Which strategy, if implemented by the nurse, would decrease health care disparities and promote health equity for this community?