Chapter 49: Assessment and Management of Patients With Hepatic Disorders 3

Liver biopsy

A client is being prepared to undergo laboratory and diagnostic testing to confirm the diagnosis of cirrhosis. Which test would the nurse expect to be used to provide definitive confirmation of the disorder?

cirrhosis

A client is admitted for suspected GI disease. Assessment data reveal muscle wasting, a decrease in chest and axillary hair, and increased bleeding tendency. The nurse suspects the client has:

venous pressure fluid accumulation

A client has received a diagnosis of portal hypertension. What does portal hypertension treatment aim to reduce? Select all that apply.

On the right side

A client has undergone a liver biopsy. After the procedure, the nurse should place the client in which position?

Octreotide

A client is actively bleeding from esophageal varices. Which medication would the nurse mostexpect to be administered to this client?

subnormal serum glucose and elevated serum ammonia levels.

A client with acute liver failure exhibits confusion, a declining level of consciousness, and slowed respirations. The nurse finds him very difficult to arouse. The diagnostic information which best explains the client's behavior is:

Use strict birth control methods.

A female client with chronic hepatitis B has been prescribed recombinant interferon alfa-2b in combination with ribavirin. Which of the following instructions should a nurse provide this client?

acute cholecystitis

A middle-aged obese female presents to the ED with severe radiating right-sided flank pain, nausea, vomiting, and fever. A likely cause of these symptoms is:

Clay-colored stools

A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice?

Typically there is a spontaneous recovery. Transmission of the virus is possible with oral-anal contact during sex. There is a 70% chance that jaundice will occur.

A nurse practitioner treating a patient who is diagnosed with hepatitis A should provide health care information. Which of the following statements are correct for this disorder? Select all that apply.

Right lateral decubitus position

After undergoing a liver biopsy, a client should be placed in which position?

Lactulose

The nurse is administering medications to a client that has elevated ammonia due to cirrhosis of the liver. What medication will the nurse give to detoxify ammonium and to act as an osmotic agent?

low-fat diet

What is the recommended dietary treatment for a client with chronic cholecystitis?

Change in the client's handwriting and/or cognitive performance

When caring for a client with advanced cirrhosis and hepatic encephalopathy, which assessment finding should the nurse report immediately?

Decreased blood flow

Which is an age-related change of the hepatobiliary system?

Vasopressin

Which medication is used to decrease portal pressure, halting bleeding of esophageal varices?

Asterixis

Which of the following would the nurse expect to assess in a client with hepatic encephalopathy?

Folic acid

Which type of deficiency results in macrocytic anemia?

Petechiae Ecchymoses Jaundice

While conducting a physical examination of a client, which of the following skin findings would alert the nurse to the possibility of liver problems? Select all that apply.

Minimizing social isolation

A young client with anorexia, fatigue, and jaundice is diagnosed with hepatitis B and has just been admitted to the hospital. The client asks the nurse how long the stay in the hospital will be. In planning care for the client, the nurse identifies impaired psychosocial issues and assigns the highest priority to which client outcome?