The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading cause of cirrhosis?
Metabolic syndrome
Liver cancer
Nonalcoholic fatty liver disease
Hepatitis C
The Correct Answer is D
A. Metabolic syndrome contributes to nonalcoholic fatty liver disease (NAFLD), but on its own, it is not the leading direct cause of cirrhosis.
B. Liver cancer is often a result of cirrhosis, not a cause.
C. Nonalcoholic fatty liver disease is a growing cause, especially in developed countries, but hepatitis C remains a more common cause globally.
D. Hepatitis C is a leading cause of cirrhosis worldwide due to chronic inflammation and scarring of liver tissue over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Certain medications can cause liver damage or drug-induced hepatitis, but they do not cause hepatitis A, which is a viral infection.
B. Hepatitis A is commonly transmitted through the fecal-oral route, often via contaminated food or water. Eating undercooked or contaminated shellfish like shrimp is a known risk factor.
C. Hepatitis A is not transmitted through blood transfusions; that risk is associated with hepatitis B and C.
D. While Epstein-Barr virus affects the liver, it is not linked to co-infection with hepatitis A.
Correct Answer is ["B","C","E"]
Explanation
A. Left lower quadrant pain is not typical. Appendicitis usually presents with right lower quadrant pain (McBurney’s point).
B. Guarding is a common sign of abdominal irritation or inflammation and is expected with appendicitis.
C. Rebound tenderness, where pain intensifies when pressure is released, is a classic sign of peritoneal irritation caused by appendicitis.
D. C-reactive protein (CRP) typically increases with inflammation; a decrease would not be expected in active appendicitis.
E. Pain on lifting the thigh when supine (the psoas sign) suggests irritation of the iliopsoas muscle, often seen in retrocecal appendicitis.
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