Cirrhosis ATI Questions

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NSG 4530 EXAM 1: ATI Questions & ...

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2024 A

Teacher Oki A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (SATA)

• diuretic
• Beta-blocking agent
• opioid analgesic
• lactulose
• sedative
• diuretic
• Beta-blocking agent
• sedative

A nurse is assessing a client who has advanced cirrhosis. the nurse should identify which of the following findings as indicators of hepatic encephalopathy? (SATA)

• anorexia
• change in orientation
• asterixis
• ascites
• fetor hepaticus
• change in orientation
• asterixis
• fetor hepaticus

A nurse is performing an admission assessment of a patient with a diagnosis of cirrhosis. What technique should the nurse use to palpate the patients liver?

• Place hand under the right lower abdominal quadrant and press down lightly with the other hand.
• Place the left hand over the abdomen and behind the left side at the 11th rib.
• Place hand under right lower rib cage and press down lightly with the other hand.
• Hold hand 90 degrees to right side of the abdomen and push down firmly.
• Place hand under right lower rib cage and press down lightly with the other hand.

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment,the nurse notes that the patient has a flapping tremor of the hands. The nurse should document thepresence of what sign of liver disease?

• Asterixis
• Constructional apraxia
• Fetor hepaticus
• Palmar erythema
• Asterixis

A nurse is participating in the emergency care of a patient who has just developed variceal bleeding.What intervention should the nurse anticipate?

• Infusion of intravenous heparin
• IV administration of albumin
• STAT administration of vitamin K by the intramuscular route
• IV administration of octreotide (Sandostatin)
• IV administration of octreotide (Sandostatin)

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

• How many alcoholic drinks do you typically consume in a week?
• To the best of your knowledge, are your immunizations up to date?
• Have you ever worked in an occupation where you might have been exposed to toxins?
• Has anyone in your family ever experienced symptoms similar to yours?
• How many alcoholic drinks do you typically consume in a week?

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

• Mobilization with assistance at least 4 times daily
• Administration of beta-adrenergic blockers as ordered
• Vitamin B12 injections as ordered
• Administration of diuretics as ordered
• Administration of diuretics as ordered

A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this patients plan of care?

• Measurement of abdominal girth and body weight
• Assessment for variceal bleeding
• Assessment for signs and symptoms of jaundice
• Monitoring of results of liver function testing
• Assessment for variceal bleeding

A nurse is caring for a patient with cirrhosis secondary to heavy alcohol use. The nurses most recentassessment reveals subtle changes in the patients cognition and behavior. What is the nurses mostappropriate response?

• Ensure that the patients sodium intake does not exceed recommended levels.
• Report this finding to the primary care provider due to the possibility of hepatic encephalopathy.
• Inform the primary care provider that the patient should be assessed for alcoholic hepatitis.
• Implement interventions aimed at ensuring a calm and therapeutic care environment
• Report this finding to the primary care provider due to the possibility of hepatic encephalopathy.

A nurse on a solid organ transplant unit is planning the care of a patient who will soon be admitted upon immediate recovery following liver transplantation. What aspect of nursing care is the nurses priority?

• Implementation of infection-control measures
• Close monitoring of skin integrity and color
• Frequent assessment of the patients psychosocial status
• Administration of antiretroviral medications
• Implementation of infection-control measures Terms (10)

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