Exam threeeeeee :(

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? (Select all that apply.) A. Administer furosemide. B. Administer warfarin. C. Implement a low-sodium diet. D. Measure the client's abdominal girth. E. Encourage weight lifting during physical therapy.

A, C, D

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? A. Alcohol B. Caffeine C. Cocaine D. Inhalants

A. Alcohol Chronic alcohol use disorder is one of the primary causes of cirrhosis of the liver.

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? A. Decrease the client's fluid intake. B. Increase the client's saturated fat intake. C. Increase the client's sodium intake. D. Decrease the client's carbohydrate intake.

A. 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 spironolactone. Which of the following findings should the nurse expect? A. Decreased sodium level B. Decreased phosphate level C. Decreased potassium level D. Decreased chloride level

A. Decreased sodium level

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? A. Elevated blood urea nitrogen (BUN) B. Elevated HbA1c C. Decreased chloride D. Decreased bilirubin

A. Elevated blood urea nitrogen (BUN)

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? A. Petechiae B. Hypertension C. Osteoarthritis D. Peripheral ulcers

A. Petechiae

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? A. Provide a high carbohydrate diet. B. Administer acetaminophen for pain. C. Encourage eating three large meals daily. D. Include high protein snacks.

A. Provide a high carbohydrate diet.

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? A. Vitamin K B. Heparin C. Warfarin D. Ferrous sulfate

A. Vitamin K

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. A client who eats raw shellfish B. A client who has multiple tattoos C. A client who works in a child care center D. A client who has recently traveled to a underdeveloped country

B. A client who has multiple tattoos

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 bloodstream? A. Glucose B. Ammonia C. Potassium D. Bicarbonate

B. Ammonia

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? A. Dry mouth B. Vomiting C. Headache D. Peripheral edema

B. Vomiting

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? A. Elevate the client's feet. B. Increase the client's IV fluid rate. C. Initiate a dopamine IV infusion for the client. D. Administer a unit of packed RBCs.

B. Increase the client's IV fluid rate.

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? A. Deflate the balloons for 5 min every 2 hr to prevent tissue necrosis. B. Maintain constant observation while the balloons are inflated. C. Suction the tube every 2 hr and as needed to maintain patency. D. Keep the head of the bed flat at all times to prevent the development of shock

B. Maintain constant observation while the balloons are inflated.

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? A. Moist skin B. Spider angiomas C. Tarry stools D. Blood in the urine

B. Spider angiomas

A nurse is caring for a client with who has hepatitis A. The client asks the nurse how he might have contracted the virus. Which of the following is a question the nurse should ask the client? A. "Have you eaten any fresh water fish lately?" B. "Have you received a blood transfusion recently?" C. "Have you been to a third world country in the past?" D. "Do you take any recreational drugs?

C. "Have you been to a third world country in the past?"

A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation? A. Avoid covering sores with bandages. B. Avoid handwashing after eating. C. Avoid foods prepared with tap water. D. Avoid eating meat.

C. Avoid foods prepared with tap water.

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? A. Baked potato B. Stewed tomatoes C. Ham sandwich D. Milkshake

C. Ham sandwich

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? A. Avoid eating at fast food restaurants. B. Avoid serving raw foods. C. Practice effective hand hygiene. D. Wear barrier protection during vaginal intercourse.

C. Practice effective hand hygiene.

A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take? A. Ambulate the client four times per day. B. Encourage the client to consume clear liquids. C. Provide frequent oral and nares care. D. Keep the client in a supine position.

C. Provide frequent oral and nares care.

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? A. Administer diuretics. B. Restrict the client's intake of fluids. C. Reduce the client's intake of protein. D. Administer vitamin K.

C. 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? A. You may donate blood 6 months after completing the medication regimen. B. Consume a high-protein diet. C. Rest frequently throughout the day. D. Take acetaminophen every 4 hr, as needed, for discomfort

C. Rest frequently throughout the day.

A nurse is planning care for a client who is postoperative following a liver transplant. and weighs 65 kg. Which of the following actions should the nurse plan to take? A. Keep the client NPO for the first week postoperative. B. Limit caloric content once the client resumes eating. C. Stress the importance of safe food-handling practices. D. Decrease foods high in carbohydrates once the client resumes eating.

C. Stress the importance of safe food-handling practices.

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? A. Administer antibiotics. B. Provide a diet high in fat. C. Restrict fluids. D. Encourage short periods of ambulation.

D. Encourage short periods of ambulation.

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? A. Excessive alcohol consumption B. Hepatitis C C. Hepatotoxic medications D. Obstruction of the bile duct

D. Obstruction of the bile duct

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? A. Droplet B. Contact C. Airborne D. Standard

D. Standard