ATI Cirrhosis
A nurse is teaching a class about preventative care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
Avoid foods prepared with tap water
A nurse is caring for a client who has a history of alcohol use disorder and reports bruising and frequent nosebleeds. The nurse should recognize that this client is manifesting which of the following conditions?
Cirrhosis
A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?
Lung cancer
A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?
Weigh the client daily
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?
A client who has multiple tattoos
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan?
Administer furosemide Implement a low-sodium diet Measure the client's abdominal girth
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?
Adrenocortical insufficiency
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
Alcohol
A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the blood stream?
Ammonia
A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?
Decrease the client's fluid intake
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spirnolactone. Which of the following findings should the nurse expect?
Decreased sodium level
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should he nurse include in the plan?
Encourage short periods of ambulation
A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?
Ham sandwich
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Hyperpigmentation
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?
Increase the client's IV fluid rate.
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
It is caused by the lack of production of aldosterone by the adrenal gland
A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform?
Maintain constant observation while the balloons are inflated
A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?
Manifestations of the virus are similar to flu-like symptoms
A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism?
Moon face
A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?
Obstruction of the bile duct
A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect?
Petechiae
A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?
Practice effective hand hygiene.
A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?
Provide a high carbohydrate diet
A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?
Reduce the client's intake of protein
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
Rest frequently throughout the day
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?
Restrict fluid intake to 1,000 mL per day
A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?
Spider angiomas
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Teach the parents about cortisol replacement therapy
A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?
Vitamin K
A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?
Vomiting
