WorksheetsNRG401 - LIVER FAILURE : 14C G11-G12
Total questions: 30
Worksheet time: 30mins
Which condition is a known cause of cirrhosis? SELECT ALL THAT APPLY
Obesity
Alcohol consumption
Blockage of the bile duct
Hepatitis C
You are explaining the anatomy of the liver. Which of the following will correctly complete the statement. "The liver receives it blood supply from two sources. One of these sources is called the _________________, which is a vessel network that delivers blood _____________ in nutrients but ________ in oxygen."
hepatic artery, low, high
hepatic portal vein, high, low
hepatic lobule, high, low
hepatic vein, low, high
You are taking care of a patient with late-stage cirrhosis who developed portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:
Increase albumin levels
Fluid volume deficient
Ascites
Esophageal varices
Your patient with cirrhosis has severe splenomegaly. As the nurse you will make it priority to monitor the patient for signs and symptoms of? Select all that apply:
Thrombocytopenia
Vision changes
Increased PT/INR
Leukopenia
You are taking care of a patient is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal option selection below should be avoided with this patient?
Beef tips and broccoli rabe
Pasta noodles and bread
Cucumber sandwich with a side of grapes
Fresh salad with chopped water chestnuts
You are doing your morning assessment of a patient with cirrhosis, you note the patient is disoriented to person and place. In addition while assessing the upper extremities, the patient's hands demonstrate a flapping motion. What lab result would explain these abnormal assessment findings?
Decreased magnesium level
Increased calcium level
Increased ammonia level
Increased creatinine level
You are receiving endorsement report on a patient with cirrhosis. The nurse tells you the patient’s bilirubin levels are very high. Based on this, what assessment findings may you expect to find during your head-to-toe assessment? Select all that apply:
Dark brown urine
Yellowing of the sclera
Dark brown stool
Jaundice of the skin
You are giving health teaching to a patient with esophageal varices. Which of the following should be avoided? SELECT ALL THAT APPLY
Sleeping on the back
Drinking juice
Straining during a bowel movement
Excessive coughing
You are giving health teaching to a patient regarding the functions of the liver. Which of the following is NOT a role of the liver?
Removing hormones from the body
Producing bile
Absorbing water
Producing albumin
A client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?
Esophageal varices
Ascites
Asterixis (liver flap)
Peripheral edema
You are taking care or Mr.Nowana who develops hepatic encephalopathy. Which clinical manifestation is most common with this condition?
Hypotension
Altered level of consciousness
Decreased tendon reflex
Increased urine output
You are caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
Dyspnea and fatigue
Purpura and petechiae
Ascites and orthopnea
Gynecomastia and testicular atrophy
Mr. Wangyo was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver: The biopsy of Mr. Wangyo confirms the diagnosis of cirrhosis. Mr. Wangyo is at increased risk for excessive bleeding primarily because of:
Varix formation
Impaired clotting mechanism
Trauma of invasive procedure
Inadequate nutrition
You are assigned in the medical ward with a patient with Liver cirrhosis. Which of the following findings would strongly indicate the possibility of cirrhosis?
Dry skin
Pruritus
Peripheral edema
Hepatomegaly
Nurse Dee-Dee Sy is providing a discharge teaching to a client with chronic cirrhosis. His wife asks her to explain why there is so much emphasis on bleeding precautions. Which of the following provides the most appropriate response?
“The low protein diet will result in reduced clotting.”
“The liver affected by cirrhosis is unable to produce clotting factors.”
“The required medications reduce clotting factors.”
“The increased production of bile decreases clotting factors.”
Which of the following is the lowest possible score of a Glasgow coma scale?
0/15
3/15
8/15
11/15
Which of the following is a precipitating factor that would lead to liver failure? SELECT ALL THAT APPLY
Gender
Age
Obesity
High Cholesterol
Which of the following symptoms where present on patient Odolle who is diagnosed with Chronic Liver disease (NASH)? SELECT ALL THAT APPLY
Hematemesis
Abdominal pain
Difficulty of breathing
Dark colored stool
Which of the following medication is considered as an Osmotic diuretic?
Mannitol
Furosemide
Sodium Phenylbutyrate
Albumin
Which of the following medication is given to maintain the oncotic pressure?
Mannitol
Furosemide
Sodium Phenylbutyrate
Albumin
What is the antidote for acetaminophen overdose?
Acetylcysteine
Epinephrine
Calcium gluconate
Vitamin K
What precaution should be done before giving furosemide to the patient? SELECT ALL THAT APPLY
Check patient Blood pressure
Check patient Urine output
Make sure to give without meals
Identify and verify the correct patient
Mr. Takayama is in end-stage liver failure. Which interventions should the nurse implement when addressing hepatic encephalopathy? (Select all that apply.)
Evaluating the client’s serum ammonia level
Monitoring the client’s handwriting daily
Assessing the client’s neurologic status every 2 hours
Monitoring the client’s hemoglobin and hematocrit levels
Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?
Hyperkalemia
Constipation
Jaundice
Tachycardia
Nurse Farrah is providing care for Kristoff who has jaundice. Which statement indicates that the nurse understands the rationale for instituting skin care measures for the client?
“Jaundice is associated with pressure ulcer formation.”
“Jaundice produces pruritus due to impaired bile acid excretion.”
“Jaundice leads to decreased tissue perfusion and subsequent breakdown.”
“Jaundice impairs urea production, which produces pruritus.”
For a client with hepatic cirrhosis who has altered clotting mechanisms, which intervention would be most important?
Increasing nutritional intake
Administering antibiotics as prescribed
Applying pressure to injection sites
Allowing complete independence of mobility
A 52-year-old man was referred to the clinic due to increased abdominal girth. He is diagnosed with ascites by the presence of a fluid thrill and shifting dullness on percussion. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care?
Documenting precise intake and output
Measuring serum potassium for hyperkalemia
Measuring the client’s weight weekly
Assessing the client for hypervolemia
A client diagnosed with chronic cirrhosis who has ascites and pitting peripheral edema also has hepatic encephalopathy. Which of the following nursing interventions are appropriate to prevent skin breakdown?
Turn and reposition every 2 hours
Sit in chair for 30 minutes each shift
Abdominal and foot massages every 2 hours
Range of motion every 4 hours
A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. The nurse expects to assess for:
Malaise
Hand tremors
Weight loss
Stomatitis
What is the occupation of your Case Patient?
House wife
Call center agent
Retiree
Bank teller
