Ch. 50 Liver Conditions Flashcards
The nurse is caring for a client who has chronic Hepatitis B and starting on tenofovir. Which assessment is the most important for clients taking this drug?
A. Liver enzymes
B. cardiac markers
C. immune indicators
D. kidney function tests
D. Kidney function tests
A client who has esophageal varices is prescribed propranolol to prevent bleeding. What health teaching about this drug will the nurse provide for the client?
A. Report any signs of blood clots in your legs while on this drug
B. Be aware that this drug may cause nausea and vomiting
C. This drug is expected to lower your pulse and blood pressure
D. This drug should only be taken when you have an exacerbation of cirrhosis
C. This drug is expected to lower your pulse and blood pressure
The nurse is caring for a client who has cirrhosis of the liver. The client’s latest laboratory testing shows a prolonged prothrombin time. For what client finding resulting from this lab result would the nurse monitor?
A. Deep vein thrombosis
B. Hematemesis
C. Pressure injury
D. Jaundice
B. Hematemesis
The nurse collaborates with the registered dietitian nutritionists in providing teaching for a client who has ascites from cirrhosis. What daily dietary restriction would the nurse include in the health teaching?
A. Sodium
B. Potassium
C. Magnesium
D. Calcium
A. Sodium
The nurse is caring for a client who just had paracentesis. Which client finding indicates that the procedure was effective?
A. Increased blood pressure
B. Increased pulse
C. Decreased weight
D. Decreased pain
C. Decreased weight
Which action by the nurse would most likely help to relieve symptoms associated with ascites?
A. Lowering the head of the bed
B. Monitoring serum albumin levels
C. Administering intravenous fluids
D. Administering oxygen therapy
D. Administer oxygen therapy
The nurse is teaching a client and family about home care following a transjugular intrahepatic portal-systemic shunt (TIPS) procedure. Which client finding would the nurse teach the family to report to the primary health care provider immediately?
A. Fatigue and weakness
B. Decreased pulse rate
C. Changes in consciousness or behavior
D. Decreased ascitic fluid
C. Changes in consciousness or behavior
When providing community education, the nurse emphasizes that which group needs to receive immunization for hepatitis B?
A. Individuals who include shellfish in their diet
B. Men who engage in sex with multiple men
C. Individuals traveling to non-affluent countries
D. Individuals with elevations of aspartate aminotransferase
B. Men who engage in sex with multiple men
What teaching does the home health nurse give the family of a client with hepatitis C to prevent the spread of infection?
A. Do not consume alcohol
B. Avoid sharing the bathroom with the client
C. Do not share toothbrushes with each other
D. Drink only bottled water and avoid ice
C. Do not share toothbrushes with each other
The nurse is planning care for a client who had a liver transplant. Which nursing assessment would the nurse include in the plan of care?
A. Assess the client’s abdomen for indication of peritonitis
B. Monitor the client’s feet and ankles for peripheral edema
C. Monitor the client’s laboratory inflammation markers
D. Document strict intake and output measurements
A. Assess the client’s abdomen for indication for peritonitis
A client who has ascites from liver cirrhosis developed hepatopulmonary syndrome. Which of the following nursing actions would be appropriate as part of the client’s plan of care? Select all that apply.
A. Auscultate lungs every 4 to 8 hours
B. Monitor peripheral oxygen saturation
C. Provide supplemental oxygen as indicated
D. Monitor serum sodium and potassium levels
E. Elevate the head of the bed
A, B, C, E
When caring for a client with liver cirrhosis, which of the following findings does the nurse expect to find on assessment? Select all that apply.
A. Prolonged prothrombin time
B. Dry, jaundiced skin
C. Swollen abdomen
D. Elevated magnesium
E. Currant jelly stool
F. Elevated amylase level
A, B, C
When assessing a client with hepatitis B, the nurse anticipates which of the following client findings? Select all that apply.
A. Recent influenza infection
B. Brown stool
C. Tea-colored urine
D. Right upper quadrant tenderness
E. Itching
C, D, E
When caring for a client with portal hypertension, the nurse assesses for which of the following potential complications. Select all that apply.
A. Esophageal varices
B. Hematuria
C. Fever
D. Ascites
E. Hemorrhoids
A, D, E
The nurse teaches the client who has cirrhosis about foods and other substances that should be avoided to prevent worsening of the disease. Which of the following substances will the nurse include in that health teaching? Select all that apply.
A. Alcohol
B. Protein
C. Sodium
D. Acetaminophen
E. Smoking
F. Illicit drugs
A, D, E, F
