The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

Esophageal varices

Altered mental status

Low serum albumin

Decreased reflexes

Answer and Explanation

The Correct Answer is A

A)   These are dilated veins in the esophagus that can rupture and lead to life- threatening bleeding.
B)   While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed.
C)   Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices.
D)   This is a concern but does not represent an immediate life-threatening condition like esophageal varices.

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Correct Answer is B

Explanation

A) Monitoring blood glucose is more relevant for diabetic care.

B) A sodium diet is appropriate for managing fluid retention associated with liver disease.
C) Bedrest may be prescribed but not as specific to the management of fluid retention.
D) Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

A. "Have your bowel patterns changed?" B. "Have you ever had a blood transfusion?" C. "Where have you traveled recently?" D. "Do you have diabetes?"

Correct Answer is B

Explanation

A) Bowel pattern changes are not typically associated with hepatitis C.

B) Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C) Travel history is not directly relevant to assessing for hepatitis C transmission.

D) While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.

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The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Correct Answer is B

Explanation

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

Correct Answer is B

Explanation

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?