vSim Coursepoint: Dale MAy

When a patient presents with cirrhosis, which sign(s) and/or symptom(s) would the nurse expect the patient to exhibit? (Select all that apply.) Palmar erythema Hypertension Facial vascular spiders Jaundice

Ascites Palmar erythema Facial vascular spiders Jaundice

The most desirable outcome for Dale May is ______________________ which will be accomplished by administering _____________________________.

serum potassium between 3.5 and 5.0 mEq/L; potassium

Which assessment(s) is important for patients with cirrhosis? (Select all that apply.) Neurologic Respiratory Cardiac Gastrointestinal Skin

Neurologic Respiratory Gastrointestinal Skin

A patient would be placed in which position after a percutaneous liver biopsy? Supine Trendelenburg Right side Prone

Right side

Which information indicates Dale May's current condition is worsening? (Select all that apply.) Dyspnea Weakness Ascites Watery, loose stools Facial vascular spiders Jaundice

Dyspnea Weakness Ascites Watery, loose stools

Cirrhosis causes which kind of jaundice? Hemolytic Hepatocellular Obstructive Hyperbilirubinemia

Hepatocellular

Which intervention(s) is primary for patients with decompensated cirrhosis? (Select all that apply.) Improving nutritional status Administering ammonia-lowering therapy Providing skin care Providing sedatives or tranquilizers Increasing aerobic activity

Improving nutritional status, Administering ammonia-lowering therapy Providing skin care

Which tests should be done to help determine the significance of the dyspnea, weakness, ascites, and loose stools that Dale May is experiencing? (Select all that apply.) Serum potassium Arterial blood gas analysis Blood pressure Chest x-ray Stool sample Urinalysis

Serum potassium Arterial blood gas analysis Blood pressure

Which sign(s) and/or symptom(s) indicates hepatic encephalopathy? (Select all that apply.) Asterixis Constructional apraxia Hypertension Alterations in mood and sleep patterns Jaundice

Asterixis Constructional apraxia Alterations in mood and sleep patterns

Dale May's serum potassium level is 3.3 and blood pressure is 98/68 mm Hg. The patient's pain level is 10 out of 10, and she is due for propranolol hydrochloride, lactulose, and furosemide. Which information do you want to speak to the physician about? (Select all that apply.) Furosemide Lactulose Propranolol hydrochloride Pain Potassium level Blood pressure

Furosemide Lactulose Propranolol hydrochloride Pain Potassium level Blood pressure

Which intervention(s) would the nurse communicate to the health care provider as the R of SBAR? (Select all that apply.) Give potassium Give spironolactone Hold lactulose Hold furosemide Hold propranolol hydrochloride Hold multivitamin

Give potassium Give spironolactone Hold lactulose Hold furosemide Hold propranolol hydrochloride

Side effects of lactulose can include which item(s)? (Select all that apply.) Intestinal bloating Fluid overload Dehydration Hyperkalemia Constipation Abdominal cramping

Intestinal bloating Dehydration Abdominal cramping

Which sign(s) points to Dale May's condition improving? (Select all that apply.) Serum ammonia level is 70 mcg/dL. Serum potassium is 3.6 mEq/L. Blood pressure is 102/68 mm Hg. Hemoglobin is 9 g/100 ml. Patient has developed asterixis. Abdominal girth has increased 6 cm.

Serum potassium is 3.6 mEq/L. Blood pressure is 102/68 mm Hg.

The patient with end-stage liver disease is preparing for a liver transplant. A liver biopsy is avoided due to which potential complication(s)? (Select all that apply.) Tumor seeding Hemorrhage Contagion False negative results Increased fibrosis Increased portal hypertension

Tumor seeding Hemorrhage False-negative results