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WorksheetsCirrhosis
Total questions: 20
Worksheet time: 10mins
The liver is located on which side of the body?
Left
Right
Diarrhea is a major dose-limiting effect for which medication?
lactulose
rifaximin
nadolol
propranolol
The nurse is reviewing the lab results for a pt with cirrhosis and notes that the ammonia level is elevated. Which diet does the nurse anticipate to be prescribed for this pt?
High protein
Low protein
High carb
Low carb
During assessment of a pt with obstructive jaundice, you would expect to find:
clay-colored stools
dark urine and stool
elevated urinary urobilinogen
pyrexia and pruritis
The pt with advanced cirrhosis asks why his abdomen is so swollen. The best answer is:
a lack of clotting factors promotes the collection of blood in the abdominal cavity
portal hypertension and hypoalbuminemia cause fluid shift into the peritoneal space.
decreased peristalsis in the GI tract contributes to gas formation and distention of the bowel
bile salts in the blood irritate the peritoneal membranes, causing edema and pocketing of fluid.
The health care provider orders lactulose for a patient with hepatic encephalopathy. The pharmacist will monitor for effectiveness of this medication for this pt by assessing what?
relief of constipation
relief of abdominal pain
decreased liver enzymes
decreased ammonia levels
What is the purpose of liver functions tests in diagnosing cirrhosis?
To determine the presence of anemia
To determine the prothrombin time
To determine glucose and lipid metabolism
To determine the degree of elevation of liver enzymes
A nurse is caring for a client with ascites secondary to cirrhosis. Which medication is the treatment of choice?
spironolactone
furosemide
neomycin
propranolol
Which laboratory test is prescribed for a client with suspected cirrhosis?
O2 level
CO2 level
WBC count
liver biopsy
A patient with cirrhosis has 4+ pitting edema of the feet and legs and massive ascites. The data indicate that it is most important for the nurse to monitor the patient's
temperature
albumin level
hemoglobin
blood pressure
A patient with cirrhosis who is being treated with spironolactone (Aldactone) and furosemide (Lasix) has a serum sodium level of 135 mEq/L (135 mmol/L) and serum potassium 3.2 mEq/L (3.2 mmol/L). You should
administer the furosemide and withhold the spironolactone.
give both drugs as scheduled
administer the spironolactone.
hold both drugs and call the physician
When lactulose (Cephulac) 30 ml QID is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. The pharmacist explains to the patient that it is still important to take the drug because the lactulose will
promote fluid loss
prevent constipation
prevent gastrointestinal (GI) bleeding
improve nervous system function
The liver is the largest solid organ in the body?
True
False
Which of the following drugs would be the preferred agent to manage acute variceal bleeding
propranolol
ocreotide
vasopressin
spironolactone
A drug of choice for the primary prevention of variceal bleeding is
nadolol
spironolactone
isosorbide dinitrate
lactulose
The treatment of ascites secondary to portal hypertension includes
beta-blockers, nitrates, and diuretic
fluid resuscitation, beta-blockers, and antibiotics
abstinence from alcohol, sodium restriction, and diuretics
therapeutic paracentesis
Oxygen rich blood enters the liver through
hepatic artery
portal vein
hepatic vein
splenic artery
Brings nutrients and deoxygenated blood from the intestines, spleen and stomach
hepatic artery
portal vein
hepatic vein
splenic artery
Leaves the liver and branches into the inferior vena cava where it returns to the heart
hepatic artery
portal vein
hepatic vein
splenic artery
A MELD score of 15 or _____ is when you would consider a transplant.
higher
lower
