Liver Failure practice questions

True/ False The portal vein carries blood from the liver to the gastrointestinal tract.

False The portal vein carries blood from the GI tract out to the liver to be cleaned and processed

Which of the following findings would strongly indicate the possibility of cirrhosis? Dry skin Hepatomegaly Peripheral edema Pruritis

Hepatomegaly - or enlarged liver. -The other issues could occur with many different conditions are not specific to liver failure.

True/ False Ascites is the accumulation of fluid in the peritoneal cavity.

True - Ascites occurs when fluid is pushed out of vessels into the peritoneal space.

An increase in the rate of red blood cell breakdown causes which form of jaundice? a. Obstructive b. Hemolytic c. Hepatocellular d. Metabolic

B. Hemolytic Hemolytic jaundice occurs when red blood cells are quickly being destroyed.

A client with cirrhosis begins to develop ascites. Aldactone is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related side effects? A. constipation B. hyperkalemia C. irregular pulse D. dysuria

B. Hyperkalemia - Aldactone can cause potassium retention because it is a potassium sparing diuretic. Hyperkalemia could eventually lead to irregular heart beat, but this would not be picked up right away.

A client is to be discharged with a prescription for lactulose. The nurse teaches the client how to administer this med. Which statement indicates that the client understood the directions? A. I'll mix it with Maalox B. I'll mix it with apple juice C. I'll mix it with a laxative D. I'll mix the crushed tablets in some gelatin

B. I'll make it with apple juice - The only choice here is to mix with apple juice. Most patient drink it straight. The other choices would be wrong

The physician orders a paracentesis for a client with acites. Before the procedure, the nurse should instruct the client to: a. Empty the bladder b. Eat foods low in fat c. Remain npo for 24 hours d. Assume the supine position

a. Empty the bladder - The patient should empty the bladder to decrease likelihood of sticking bladder with the needle. The rest of the choices are wrong or don't apply

The number 1 cause of liver failure in the United States is A. crytpogenic B. hepatitis B C. alcoholism D. bad mushroom consumption

c. alcoholism Currently in the US, you'll usually find that your pt with cirrhosis is, or was, a drinker

A common clinical manifestation of portal hypertension is: a. rectal bleeding. b. duodenal bleeding. c. esophageal bleeding. d. intestinal bleeding.

c. esophageal bleeding - The most common problem with portal hypertension is esophageal bleeding, but could occur anywhere along the GI tract

Problems associated with hepatic encephalopathy from chronic liver disease are the result of: a. hyperbilirubinemia and jaundice. b.fluid and electrolyte imbalances. c.impaired ammonia metabolism. d.decreased cerebral blood flow.

c. impaired ammonia metabolism. Encephalopathy occurs when there is impaired ammonia metabolism. The rest don't directly apply.