Chapter 49: Assessment and Management of Patients With Hepatic Disorders

anorexia, nausea, and vomiting.

A client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note:

Hepatitis C increases a person's risk for liver cancer.

A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?

decompression

A preoperative client scheduled to have an open cholecystectomy says to the nurse, "The doctor said that after surgery, I will have a tube in my nose that goes into my stomach. Why do I need that?" What most common reason for a client having a nasogastric tube in place after abdominal surgery should the nurse include in a response?

Severe mid-abdominal to upper abdominal pain radiating to both sides and to the back

The nurse is asking the client with acute pancreatitis to describe the pain. What pain symptoms does the client describe related to acute pancreatitis?

Abdominal paracentesis

The nurse is assisting the physician with a procedure to remove ascitic fluid from a client with cirrhosis. What procedure does the nurse ensure the client understands will be performed?

Spironolactone (Aldactone)

The nurse is concerned about potassium loss when a diuretic is prescribed for a patient with ascites and edema. What diuretic may be ordered that spares potassium and prevents hypokalemia?

Clay-colored or whitish

When assessing a client with cirrhosis of the liver, which of the following stool characteristics is the client likely to report?

Portal hypertension

Which is the most common cause of esophageal varices?

Vasopressin

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

Upright at the edge of the bed

Which position should be used for a client undergoing a paracentesis?