50MC

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 nurse is caring for a client who has cirrhosis of the liver. What nursing action is appropriate to help control ascites?

• Monitor intake and output.

• Provide a low-sodium diet.

• Increase oral fluid intake.

• Weigh the patient daily.

The nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which assessment finding would require immediate action by the nurse?

• Urine output via indwelling urinary catheter is 20 mL/hr

• Blood pressure increases from 110/58 to 120/62 mm Hg

• Respiratory rate decreases from 22 to 16 breaths/min

• A decrease in the client’s weight by 3 lb (1.4 kg)

The nurse is caring for a client who has a risk gene for developing cirrhosis. Which racial/ethnic group has this gene most often?

• Blacks

• Asian/Pacific Islanders

• Latinos

• French

The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The client is thin and cachectic, and the family expresses distress that the patient is receiving little dietary protein. How would the nurse respond?

• A low-protein diet will help the liver rest and will restore liver function.

• Less protein in the diet will help prevent confusion associated with liver failure.

• Increasing dietary protein will help the patient gain weight and muscle mass.

• Low dietary protein is needed to prevent fluid from leaking into the abdomen.

The nurse is caring for a client who is prescribed lactulose. The client states, “I do not want to take this medication because it causes diarrhea.” How would the nurse respond?

• “Diarrhea is expected; that’s how your body gets rid of ammonia.”

• “You may take antidiarrheal medication to prevent loose stools.”

• “Do not take any more of the medication until your stools firm up.”

• “We will need to send a stool specimen to the laboratory as soon as possible.”

After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client’s understanding. Which statement by the client indicates correct understanding of the teaching?

• Some medications have been known to cause hepatitis A.

• I may have been exposed when we ate shrimp last weekend.

• I was infected with hepatitis A through a recent blood transfusion.

• My infection with Epstein-Barr virus can co-infect me with hepatitis A.

The nurse is caring for a client scheduled to have a transjugular intrahepatic portal-systemic shunt (TIPS) procedure. What client assessment would the nurse perform prior to this procedure?

• Musculoskeletal assessment

• Neurologic assessment

• Mental health assessment

• Cardiovascular assessment

The nurse is preparing to teach a client with chronic hepatitis B about lamivudine therapy. What health teaching would the nurse include?

• Follow up on all appointments to monitor your lab values.

• Do not take amiodorone at any time while on this drug.

• Monitor for jaundice, rash, and itchy skin while on this drug.

• Report any changes in urinary elimination while on this drug.

The nurse is teaching a client about taking elbasvir for hepatitis C. What information in the client’s history would the nurse need prior to drug administration?

• History of hepatitis B

• History of kidney disease

• History of cardiac disease

• History of rectal bleeding