NCLEX Questions - Care of Patients with Liver Problems

NCLEX Questions - Care of Patients with Liver Problems ScienceMedicineHepatology beth_lewis_moore Save Exam 4- Cirrhosis NCLEX Teacher 26 terms RegisteredNurse22 Preview Hepatic Dysfunction NCLEX Style Q...181 terms marla_bellarPreview Pancreatitis, NCLEX 59 terms melissa-knight Preview Hepati 12 terms erin A patient with decompensated cirrhosis is at risk for which complications? Select all that apply.

• Jaundice
• Esophageal varices
• Coagulation defects
• Hepatitis A virus (HAV)
• Spontaneous bacterial peritonitis
• Ascites
• Jaundice
• Esophageal varices
• Coagulation defects
• Spontaneous bacterial peritonitis
• Ascites

What is the common cause for Laennec's cirrhosis?

• Hepatitis C virus (HPC)
• Chronic biliary obstruction
• Autoimmune disorders
• Chronic alcoholism
• Chronic alcoholism

The nurse is assessing a patient with massive ascites. What related complication must the nurse monitor for with this patient?

• Bleeding due to fragile, thin-walled veins
• Hematemesis due to absence of clotting factors
• Increased ascites due to sodium and water retention
• Bruising due to low platelet count
• Increased ascites due to sodium and water retention

When admitting the patient with cirrhosis, the nurse assesses for which conditions related to splenomegaly as possible complications of the disease? Select all that apply.

• Thrombocytopenia
• Bleeding esophageal varies
• Hepatorenal syndrome
• Portal hypertensive gastropathy
• Thrombocytopenia

Patients with cirrhosis are susceptible to bleeding and easy bruising because there is a decrease in the production of bile in the liver preventing the absorption of which vitamin?

• Vitamin A
• Vitamin D
• Vitamin E
• Vitamin K
• Vitamin K

Which key points does the nurse include when teaching the patient with cirrhosis and his family about drug therapy before discharge?

• "Do not take over-the-counter medications unless approved by your health care provider."
• "The beta blocker call propranolol (Inderal) will cause your heart rate to increase."
• "The lactulose syrup should cause you to have two to three bowel movements every day."
• "Take your furosemide (Lasix) early in the day so that it does not keep you up at night."
• "Report any muscle weakness or lightheadedness to your health care provider right away."
• "Do not take over-the-counter medication unless approved by your health care provider."
• "The lactulose syrup should cause you to have two to three bowel movements every day."
• "Take your furosemide (Lasix) early in the day so that it does not keep you up at night."
• "Report any muscle weakness or lightheadedness to your health care provider right away."

The nurse identifies which laboratory value as the usual indication of hepatic encephalopathy?

• Elevated sodium level
• Elevated ammonia level
• Increase blood urea nitrogen (BUN)
• Increased clotting time
• Elevated ammonia level

The nurse is assessing a male patient with cirrhosis. Which male-specific characteristics does the nurse expect to find? Select all that apply.

• Gynecomastia
• Testicular atrophy
• Ascites
• Impotence
• Spider angiomas
• Gynecomastia
• Testicular atrophy
• Impotence

Which assessment finding indicates neurologic function deterioration in a patient with stage II cirrhosis?

• Fetor hepaticus
• Asterixis
• Palmar erythema
• Icterus
• Asterixis

Which intervention should the nurse delegate to the unlicensed assistive personnel (UAP) when caring for a patient with cirrhosis experiencing pruritus?

• Apply lotion to soothe the patient's skin
• Use lots of soap and hot water to cleanse the skin
• Assess the patient for signs of skin infection
• Encourage the patient to use distraction to avoid scratching
• Apply lotion to soothe the patient's skin

Which elevated laboratory test results indicate hepatic cell destruction? Select all that apply.

• Elevated serum aspartate aminotransferase (AST)
• Elevated serum alanine aminotransferase (ALT)
• Elevated lactate dehydrogenase (LDH)
• Decreased serum total bilirubin
• Increased fecal urobilinogen
• Increased International Normalized Ratio (INR)
• Elevated serum aspartate aminotransferase (AST)
• Elevated serum alanine aminotransferase (ALT)
• Elevated lactate dehydrogenase (LDH)
• Increased International Normalized Ration (INR)

A patient is scheduled for a procedure to place a stent in the biliary tract. For which procedure does the nurse provide patient teaching?

• Esophagogastroduodenoscopy (EGD)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Upper gastrointestinal (GI) series
• Cholangiogram
• Endoscopic retrograde cholangiopancreatography (ERCP)

The nurse is teaching a patient with cirrhosis about nutrition therapy. Which statement by the patient indicates teaching has been effective?

• "I will only use table salt with my dinner meal."
• "I will read the sodium content labels on all food and beverages."
• "I will avoid the use of vinegar."
• "I will not take vitamin supplements."
• "I will read the sodium content labels on all food and beverages."

When preparing a patient for a paracentesis, what does the nurse do? Select all that apply.

• Ask the patient to void prior to the procedure.
• Place the patient in the supine position.
• Weigh the patient before the procedure.
• Obtain the patient's heart rate
• Assess the patient's respiratory rate.
• Obtain the patient's blood pressure.
• Ask the patient to void prior to the procedure.
• Weigh the patient before the procedure.c
• Obtains the patient's heart rate.
• Assess the patient's respiratory rate.
• Obtain the patient's blood pressure.

A patient will undergo an abdominal paracentesis. Which factor provides an additional safety measure?

• The procedure is performed using ultrasound.
• The procedure is performed at the bedside.
• A trocar is inserted into the peritoneal cavity.
• General anesthesia is administered. Terms (15)

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