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Liver Cirrhosis

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

The most common cause of esophageal varices includes which of the following?

a)

Ascites

b)

Portal hypertension

c)

Asterixis

d)

Jaundice

2.

What type of jaundice seen in adults is the result of increased destruction of red blood cells?

a)

Hepatocellular

b)

Nonobstructive

c)

Obstructive

d)

Hemolytic

3.

You are receiving shift 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

a)

Frothy, light-colored urine

b)

Dark brown urine

c)

Yellowing of the sclera

d)

Dark brown stool

e)

Jaundice of the skin

4.

Which of the following would be the least important assessment in a patient diagnoses with ascites?

a)

Palpation of abdomen for a fluid shift

b)

Measurement of abdominal girth

c)

Foul-smelling breath

d)

Weight

5.

A nurse has entered the room of a patient with cirrhosis and found the patient on the floor. The patient states that she fell when transferring to the commode. The patient's vital signs are within reference ranges and the nurse observes no apparent injuries. What is the nurse's most appropriate action?

a)

Remove the patient's commode and supply a bedpan.

b)

Complete an incident report and submit it to the unit supervisor

c)

Have the patient assessed by the physician due to the risk of internal bleeding

d)

Perform a focused abdominal assessment in order to rule out injury

6.

Which assessment findings indicate that the client has deficient Vitamin K absorption caused by cirrhosis?

a)

Dyspnea and fatique

b)

Gynecomastia and testicular atrophy

c)

Purpura and petechiae

d)

Ascites and orthopnea

7.

Which of the following indicates an overdose of lactulose?

a)

Constipation

b)

Watery Diarrhea

c)

Hypoactive bowel sounds

d)

Fecal impaction

8.

You're providing an in-service to new nurse graduates about esophageal varices in patients with cirrhosis. You ask the graduates to list activities that should be avoided by a patient with this condition. Which activities listed are correct? Select all that apply.

a)

Excessive coughing

b)

Drinking juice

c)

Alcohol consumption

d)

Straining during a bowel movement

e)

Vomiting

9.

A patient with cirrhosis has experienced a progressive decline in his health and liver transplantation is being considered by the interdisciplinary team. How will the patient's prioritization for receiving a donor liver be determined?

a)

By considering the patient's age and prognosis

b)

By objectively determining the patient's medical need

c)

By objectively assessing the patient's willingness to adhere to post-transplantation care

d)

By systematically ruling out alternative treatment options

10.

A patient is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal option selection below should be avoided with this patient?

a)

beef tips and broccoli rabe

b)

pasta noodles and bread

c)

cucumber sandwich with a side of grapes

d)

fresh salad with chopped water chestnuts

11.

A triage nurse in the ED is assessing a patient who presented with complaints of general malaise. Assessment reveals the presence of jaundice and increased abdominal girth. What assessment question best addresses the possible etiology of this patient's presentation?

a)

"How many alcoholic drinks do you typically consume in a week?"

b)

"To the best of your knowledge, are your immunizations up to date?"

c)

"Have you ever worked in an occupation where you might have been exposed to toxins?"

d)

"Has anyone in your family ever experienced symptoms similar to yours?"

12.

During 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?

a)

Decreased magnesium level

b)

increased calcium level

c)

increased ammonia level

d)

increased creatinine level

13.

A nurse is caring for a patient with cirrhosis secondary to heavy alcohol use. The nurse's most recent assessment reveals subtle changes in the patient's cognition and behavior. What is the nurse's most appropriate response?

a)

Ensure that the patient's sodium intake dose not exceed recommended levels.

b)

Report this finding to the primary care provider due to the possibility of hepatic encephalopathy

c)

Inform the primary care provider that the patient should be assessed for alcoholic hepatitis

d)

Implement interventions aimed at ensuring a calm and therapeutic care environment

14.

For a client with hepatic cirrhosis who has altered clotting mechanisms, which intervention would be most important?

a)

Allowing complete independence of mobility

b)

Applying pressure to injection sites

c)

Administering antibiotics as prescribed

d)

Increasing nutritional intake

15.

A nurse is amending a patient's plan of care in light of the fact that the patient has recently developed ascites. What should the nurse include in this patient's care plan?

a)

Mobilization with assistance at least 4 times daily

b)

Administration of beta-adrenergic blockers as ordered

c)

Vitamin B12 injections as ordered

d)

Administration of diuretics as ordered