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

Check blood glucose every 4 hours

2 gram sodium diet

Bedrest

Insert indwelling urinary catheter

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is D

Explanation

A) While a high carbohydrate diet can contribute to fatty liver disease, it is less direct and specific compared to other risk factors.
B) Heart disease is not directly linked to liver disease risk.

C) Having a flu is unrelated to liver disease risk.

D) Intravenous drug use is a known risk factor for hepatitis B and C, both of which can lead to liver disease.

A. Risk for bleeding B. Risk for activity intolerance C. Risk for impaired nutrition: less than body requirements D. Risk for impaired skin integrity

Correct Answer is A

Explanation

A) Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding.

B) While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided.
C) Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding.
D) Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question would the nurse ask to identify a risk factor for liver disease?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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

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