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) Bradycardia is not typically associated with hepatic encephalopathy.

B) Asterixis is a characteristic finding in hepatic encephalopathy, known as "flapping tremor," indicating neuromuscular irritability due to elevated blood ammonia levels.
C) Fever is not a common direct symptom of hepatic encephalopathy.

D) Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.

A. Alcohol abuse B. IV drug use C. Smoking D. Obesity

Correct Answer is A

Explanation

A) Chronic and excessive alcohol consumption is a well-established risk factor for the development of chronic pancreatitis.
B) While contributing to other health issues, it is not directly linked to chronic pancreatitis.

C) Smoking is a risk factor, but alcohol abuse is more significantly associated with chronic pancreatitis.
D) Although it contributes to various health problems, it is not as directly linked to chronic pancreatitis as alcohol abuse.

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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 the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

Correct Answer is B

Explanation

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

Correct Answer is A

Explanation

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

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

The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?

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

What does the nurse identify as a potential complication of chronic pancreatitis?

A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?